Steven Harris Johnson, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

7247 Issued in IA

Practice address

11 2ND Ave NW
Buffalo Center, IA 50424

Phone

(641) 562-2969

NPI assigned

Mar 7, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1173225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1689704546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 284",
            "city": "BUFFALO CENTER",
            "state": "IA",
            "postal_code": "504240284",
            "telephone_number": "641-562-2969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 2ND AVE NW",
            "city": "BUFFALO CENTER",
            "state": "IA",
            "postal_code": "50424",
            "telephone_number": "641-562-2969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "STEVEN",
        "middle_name": "HARRIS",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IA",
            "license": "7247",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0060830",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tyann Marie Beenken, PT
• Buffalo Center Medical and Specialty Services PLLC
• Buffalo Center Volunteer Ambulance
• Buffalo Center Volunteer Ambulance
• Fairmont Orthopedics and Sports Medicine, PA (Center for Specialty Care Sleep Eye)
• Kelly Lynn Lillie, RN, CNP
• Mercy Health Services-Iowa Corp. (Mercy Family Clinic-Buffalo Center)
• Mercy Health Services-Iowa Corp. (Mercy Family Clinic-Buffalo Center)
• Mark David Milbrandt, PT, DPT
• North Iowa Community School District

• General Practice Dentistry in Buffalo Center, IA
• Providers in Buffalo Center, IA by specialty
• General Practice Dentistry in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.