NPIMap

Organization Active NPI

Johnson Dental Group, LLC

Doing business as Family Dentistry, John P. Johnson, D.D.S.

  • General Practice Dentistry
  • Hinesville, GA
National Provider Identifier
1699783837
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN010850 Issued in GA
Legal business name
JOHNSON DENTAL GROUP, LLC
Doing business as
Family Dentistry, John P. Johnson, D.D.S.
Practice address
615 W. Oglethorpe Hwy
Hinesville, GA 31313
Phone
(912) 877-3070
Fax
(912) 877-3082
NPI assigned
Aug 3, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. John Paul Johnson, D.D.S.NPI 1649288820
Title
Prsident Ceo of Johnson Dental Grou
Phone
(912) 877-3070

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
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X DN010850 GA Primary

Addresses

Primary practice location

615 W. Oglethorpe Hwy
Hinesville, GA 31313

Mailing address

P. O. Box 859
Hinesville, GA 31310
Phone (912) 877-3070

Other identifiers 1

IdentifierTypeStateIssuer
1469927OtherPAUNITED CONCORDIA

Other names 1

  • FAMILY DENTISTRY, JOHN P. JOHNSON, D.D.S. Doing business as

National Provider Directory

National Provider Directory

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": "1154563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1699783837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P. O. BOX 859",
            "city": "HINESVILLE",
            "state": "GA",
            "postal_code": "31310",
            "telephone_number": "912-877-3070",
            "fax_number": "912-877-3082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 W. OGLETHORPE HWY",
            "city": "HINESVILLE",
            "state": "GA",
            "postal_code": "31313",
            "telephone_number": "912-877-3070",
            "fax_number": "912-877-3082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHNSON DENTAL GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "PRSIDENT CEO OF JOHNSON DENTAL GROU",
        "authorized_official_telephone_number": "912-877-3070",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "DN010850",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "1469927",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FAMILY DENTISTRY, JOHN P. JOHNSON, D.D.S.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hinesville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.