James Clark Johnson Jr., D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

7778 Issued in NC

Practice address

3606 Medical Park CT
Morehead City, NC 28557-4347

Phone

(252) 247-0500

Fax

(252) 726-5964

NPI assigned

Dec 1, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• James Clark Johnson, Jr., DDS, PA

  • Dental Clinic/Center
  • Morehead City, NC
  • NPI 1639405269
  NPD Authorized official

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

{
    "created_epoch": "1164931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682467200000",
    "number": "1710055181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3606 MEDICAL PARK CT",
            "city": "MOREHEAD CITY",
            "state": "NC",
            "postal_code": "285574347",
            "telephone_number": "252-247-0500",
            "fax_number": "252-726-5964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3606 MEDICAL PARK CT",
            "city": "MOREHEAD CITY",
            "state": "NC",
            "postal_code": "285574347",
            "telephone_number": "252-247-0500",
            "fax_number": "252-726-5964"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "409 N 35th St",
            "address_purpose": "LOCATION",
            "city": "Morehead City",
            "state": "NC",
            "postal_code": "285573107",
            "country_code": "US",
            "telephone_number": "252-247-5000",
            "fax_number": "252-726-5964",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5380 Hwy 70 W",
            "address_2": "Suite D",
            "address_purpose": "LOCATION",
            "city": "Morehead City",
            "state": "NC",
            "postal_code": "285574525",
            "country_code": "US",
            "telephone_number": "252-247-0500",
            "fax_number": "252-247-0501",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "JAMES",
        "middle_name": "CLARK",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-01",
        "last_updated": "2023-04-26",
        "certification_date": "2023-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "7778",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "902WR",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89902WR-89016ER",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Katharine Wheeler Jett, CRC, LPCA
• Barbara Joan Johnson, LMBT
• Betsy Johnson
• Carla Johnson, RPH
• Erin Kolberg Johnson, AU.D.
• John T Johnson, MD
• Melissa Briana Johnson, CSFA
• Taylor V Johnson, PA-C
• Theresa M Johnson
• Fletcher Johnston, PHARM D

• General Practice Dentistry in Morehead City, NC
• Providers in Morehead City, NC by specialty
• General Practice Dentistry in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 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.