Brad Michael Johnson, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D008510 Issued in AZ

Practice address

726 N Greenfield Rd Ste 126
Gilbert, AZ 85234-5063

Phone

(480) 813-8890

NPI assigned

May 11, 2012

Last updated

Jan 17, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Johnson & Larsen Family Dentistry

  • General Practice Dentistry
  • Gilbert, AZ
  • NPI 1588002588
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1336694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579219200000",
    "number": "1649539511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "726 N GREENFIELD RD STE 126",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852345063",
            "telephone_number": "480-599-0074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "726 N GREENFIELD RD STE 126",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852345063",
            "telephone_number": "480-813-8890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "BRAD",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-05-11",
        "last_updated": "2020-01-17",
        "certification_date": "2020-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "D008510",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Johnson, LCSW
• Amber L Johnson, LAC.
• Andrea Renee Johnson, FNP-C
• Arthur Allen Johnson, PA-C
• Benjamin J Johnson, DC
• Brandon Johnson, M.S., CCC-SLP
• Brandy Johnson
• Brianna Elizabeth Johnson, RBT
• Cameshia Johnson
• Cassandra Johnson

• General Practice Dentistry in Gilbert, AZ
• Providers in Gilbert, AZ by specialty
• General Practice Dentistry in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.