Javier Damonte Johnson, D.D.S

Primary specialty

DentistTaxonomy code 122300000X

License

DN014444 Issued in GA

Practice address

1412 W Oakridge Dr
Albany, GA 31707-5307

Phone

(229) 435-2424

NPI assigned

Mar 31, 2011

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Interoperability endpoints

• Direct secure messaging: javier.johnson@aaphc.eclinicaldirectplus.com

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

{
    "created_epoch": "1301529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1347494400000",
    "number": "1669761656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1412 W OAKRIDGE DR",
            "city": "ALBANY",
            "state": "GA",
            "postal_code": "317075307",
            "telephone_number": "229-435-2424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1412 W OAKRIDGE DR",
            "city": "ALBANY",
            "state": "GA",
            "postal_code": "317075307",
            "telephone_number": "229-435-2424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "JAVIER",
        "middle_name": "DAMONTE",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-03-31",
        "last_updated": "2012-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "019028343",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "GA",
            "license": "DN014444",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adrian M. Johnson, M.S.
• Barbara Lynn Johnson, DDS
• Falan Collier Johnson, PHARMD
• Heather Constance Johnson, FNP
• Jan Ray Johnson, R.PH.
• Kyle W Johnson, DO
• Mary Alice Johnson, NP-C
• Minnie Johnson
• Nancy G. Johnson, OD
• Nicole Johnson, P.T.A.

• Dentist in Albany, GA
• Providers in Albany, GA by specialty
• Dentist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.