Organization Active NPI

Allan D. Johnson DDS, PC

  • Dental Clinic/Center
  • Phoenix, AZ
National Provider Identifier
1699293944
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
ALLAN D. JOHNSON DDS, PC
Practice address
14640 N Tatum Blvd Ste 2
Phoenix, AZ 85032-4824
Phone
(602) 992-9251
Fax
(602) 992-1002
NPI assigned
Sep 7, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Allan Johnson, DDSNPI 1730297326
Title
Dentist
Phone
(602) 992-9251

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

14640 N Tatum Blvd Ste 2
Phoenix, AZ 85032-4824

Mailing address

14640 N Tatum Blvd Ste 2
Phoenix, AZ 85032-4824
Phone (602) 992-9251

National Provider Directory

National Provider Directory

Locations

14640 N Tatum Blvd
Ste 2
Phoenix, AZ 85032
Phone (602) 992-9251

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1504742400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1699293944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14640 N TATUM BLVD STE 2",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850324824",
            "telephone_number": "602-992-9251",
            "fax_number": "602-992-1002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14640 N TATUM BLVD STE 2",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850324824",
            "telephone_number": "602-992-9251",
            "fax_number": "602-992-1002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLAN D. JOHNSON DDS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-07",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "ALLAN",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "602-992-9251",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.