Marie Johnson, DDS, LLS

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

13981 Issued in MD

Legal business name

MARIE JOHNSON, DDS, LLS

Practice address

115 S Wolfe St
Baltimore, MD 21231-1915

Phone

(202) 368-5102

NPI assigned

Sep 29, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Marie Noelle Johnson, DDS

Title

President

Phone

(202) 368-5102

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1475107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1475107200000",
    "number": "1649729724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 S WOLFE ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212311915",
            "telephone_number": "202-368-5102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 S WOLFE ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212311915",
            "telephone_number": "202-368-5102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARIE JOHNSON, DDS, LLS",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-29",
        "last_updated": "2016-09-29",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "MARIE",
        "authorized_official_middle_name": "NOELLE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "202-368-5102",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "MD",
            "license": "13981",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marian House, Inc.
• Marian House, Inc.
• Marian House, Inc.
• Marian House, Inc.
• Marian House, Inc.
• Marieta S Caragay,M.D.
• Ernesto Marin
• Karen Marin
• Joseph Marine, M.D.
• Stella Marine, BSN, MPA

• Dental Clinic/Center in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Dental Clinic/Center in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2016; 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.