Jjjohnsondds PC

Primary specialty

DentistTaxonomy code 122300000X

License

MO 12260 Issued in MO

Legal business name

JJJOHNSONDDS PC

Practice address

9775 Saint Charles Rock Rd
Saint Louis, MO 63114-2635

Phone

(314) 427-7400

NPI assigned

Jun 4, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Jeff Johnson, DMD

Title

Dentist

Phone

(314) 427-7400

Specialties & licenses 2

Addresses

Locations

Practitioners 2

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

• Jeffery Justin Johnson, DMD

  • General Practice Dentistry
  • Saint Louis, MO
  • NPI 1063424687
  NPD (past)
• Jodi Brooke Johnson, DMD

  • General Practice Dentistry
  • Saint Louis, MO
  • NPI 1124031695
  NPD (past)

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

{
    "created_epoch": "1370304000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1370304000000",
    "number": "1679911325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9775 SAINT CHARLES ROCK RD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631142635",
            "telephone_number": "314-427-7400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9775 SAINT CHARLES ROCK RD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631142635",
            "telephone_number": "314-427-7400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JJJOHNSONDDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-04",
        "last_updated": "2013-06-04",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "JEFF",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "314-427-7400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "MO",
            "license": "MO 12260",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "MO",
            "license": "2005017506",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Saurabh Jindal
• Pawina Jiramongkolchai, MD
• Fnu Jitidhar, MD
• Sahas Reddy Jitta
• Jjea Adult Day Services, LLC
• JKLM Medical, LLC
• JMJ Medical Enterprise, LLC
• JN Rubin, LLC
• JN Wellness Inc
• Madhura G Joag, MD

• All providers in Saint Louis, MO
• Dentist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2013; 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.