Active NPI
Grant Johnson, DDS
- Dentist
- Birmingham, AL
National Provider Identifier
1700717675
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- D.007621-C1
- Practice address
- 1021 19TH St S
Birmingham, AL 35205-4803 - Phone
- (205) 324-1323
- NPI assigned
- May 28, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | D.007621-C1 | AL | Primary |
Addresses
Primary practice location
1021 19TH St S
Birmingham, AL 35205-4803
Mailing address
1025 30TH St S Apt 2B
Birmingham, AL 35205-1126
Phone (318) 348-3284
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D.007621-C1 | AL | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1779926400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1779926400000",
"number": "1700717675",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1025 30TH ST S APT 2B",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352051126",
"telephone_number": "318-348-3284"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1021 19TH ST S",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352054803",
"telephone_number": "205-324-1323"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "GRANT",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2026-05-28",
"last_updated": "2026-05-28",
"certification_date": "2026-05-28",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "AL",
"license": "D.007621-C1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Birmingham, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.