Organization Active NPI

Johnson & Morris PLLC

  • Pediatric Dentistry
  • Raleigh, NC
National Provider Identifier
1699743013
Registry record updated Sep 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
Legal business name
JOHNSON & MORRIS PLLC
Practice address
2800 Wakefield Pines Drive Suite 110
Raleigh, NC 27614
Phone
(919) 570-0180
Fax
(919) 570-0280
NPI assigned
Mar 10, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2023

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

Authorized official

Name
Dr. Euphemia Laree Johnson, DDS, MS, PLLCNPI 1316915861
Title
Founding Pediatric Dentist and Co-O
Phone
(919) 770-8833

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
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0221X Primary

Addresses

Primary practice location

2800 Wakefield Pines Drive Suite 110
Raleigh, NC 27614

Mailing address

2800 Wakefield Pines Drive Suite 110
Raleigh, NC 27614
Phone (919) 570-0180

Other identifiers 3

IdentifierTypeStateIssuer
89014W0MedicaidNC
16997430313MedicaidNC
014W0OtherNCBLUE CROSS BLUE SHIELD

Other names 1

  • LAREEJOHNSON, DDS. MS, PLLC Former legal business name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 8

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": "1141948800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695600000000",
    "number": "1699743013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2800 WAKEFIELD PINES DRIVE SUITE 110",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "27614",
            "telephone_number": "919-570-0180",
            "fax_number": "919-570-0280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 WAKEFIELD PINES DRIVE SUITE 110",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "27614",
            "telephone_number": "919-570-0180",
            "fax_number": "919-570-0280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHNSON & MORRIS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-10",
        "last_updated": "2023-09-25",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "EUPHEMIA",
        "authorized_official_middle_name": "LAREE",
        "authorized_official_title_or_position": "FOUNDING PEDIATRIC DENTIST AND CO-O",
        "authorized_official_telephone_number": "919-770-8833",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS, MS, PLLC"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89014W0",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "16997430313",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "014W0",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LAREEJOHNSON, DDS. MS, PLLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2023; 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.