Active NPI
Brian Michael Johnson, D.D.S
- Dentist
- Richmond, TX
National Provider Identifier
1710141023
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 24049
- Practice address
- 1628 Crabb River Rd
Ste B
Richmond, TX 77469-5634 - Phone
- (281) 937-1671
- Fax
- (281) 545-2572
- NPI assigned
- Jul 16, 2008
- 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 | 24049 | TX | Primary |
Addresses
Primary practice location
1628 Crabb River Rd
Ste B
Richmond, TX 77469-5634
Mailing address
1628 Crabb River Rd
Ste B
Richmond, TX 77469-5634
Phone (281) 937-1671
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 |
|---|---|---|---|
| 24049 | TX | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1216166400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1217376000000",
"number": "1710141023",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1628 CRABB RIVER RD",
"address_2": "STE B",
"city": "RICHMOND",
"state": "TX",
"postal_code": "774695634",
"telephone_number": "281-937-1671",
"fax_number": "281-545-2572"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1628 CRABB RIVER RD",
"address_2": "STE B",
"city": "RICHMOND",
"state": "TX",
"postal_code": "774695634",
"telephone_number": "281-937-1671",
"fax_number": "281-545-2572"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "BRIAN",
"middle_name": "MICHAEL",
"name_prefix": "Dr.",
"credential": "D.D.S",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-07-16",
"last_updated": "2008-07-30",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "TX",
"license": "24049",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Richmond, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.