Antoine G Johnson DDS LLC

Primary specialty

Oral & Maxillofacial Surgery (D.M.D.)Taxonomy code 204E00000X

License

14853 Issued in MD

Legal business name

ANTOINE G JOHNSON DDS LLC

Practice address

8860 Columbia 100 Parkway
Suite 308
Columbia, MD 21045

Phone

(410) 465-6800

Fax

(410) 461-4727

NPI assigned

Nov 2, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Antoine Gerard Johnson, DDSNPI 1679730709

Title

Oral Surgeon

Phone

(410) 465-6800

Specialties & licenses 1

Addresses

Other names 1

• Genesis Oral Surgery Other name

Medicare fee-for-service enrollment

Enrolled in MD

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Antoine Gerard Johnson, DDS

  • Oral and Maxillofacial Surgery (Dentist)
  • Columbia, MD
  • NPI 1679730709
  Medicare reassignment NPD Authorized official
• Michael David Weinstein, DDS

  • Oral and Maxillofacial Surgery (Dentist)
  • Ellicott City, MD
  • NPI 1497768386
  NPD (past)

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

{
    "created_epoch": "1383350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632873600000",
    "number": "1679902407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8860 COLUMBIA 100 PARKWAY",
            "address_2": "SUITE 308",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "21045",
            "telephone_number": "410-465-6800",
            "fax_number": "410-461-4727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8860 COLUMBIA 100 PARKWAY",
            "address_2": "SUITE 308",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "21045",
            "telephone_number": "410-465-6800",
            "fax_number": "410-461-4727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANTOINE G JOHNSON DDS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-02",
        "last_updated": "2021-09-29",
        "certification_date": "2021-09-29",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "ANTOINE",
        "authorized_official_middle_name": "GERARD",
        "authorized_official_title_or_position": "ORAL SURGEON",
        "authorized_official_telephone_number": "410-465-6800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "204E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "MD",
            "license": "14853",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Genesis Oral Surgery",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Anthony B Sims DDS PC
• Crystal Anthony
• James D Anthony, M.D.
• Russel Vincent Antico, D.C
• Veronica Anne Antico, D.C.
• Catherine Lynn Anuszewski, LCSW-C
• Clinton K Anyamele
• Hector Aparicio
• Leslie A Apgar, MD
• Camila Aponte

• Oral & Maxillofacial Surgery (D.M.D.) in Columbia, MD
• Providers in Columbia, MD by specialty
• Oral & Maxillofacial Surgery (D.M.D.) in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.