Michael S. Johnson, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

2176 Issued in ND

Practice address

2701 9TH Ave S Ste F
Fargo, ND 58103-8712

Phone

(701) 364-9990

Fax

(701) 364-9990

NPI assigned

Jul 1, 2013

Last updated

Jul 1, 2013By the provider in NPPES

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

Medicare fee-for-service enrollment

Enrolled in ND

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1372636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1372636800000",
    "number": "1710327051",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2701 9TH AVE S STE F",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581038712",
            "telephone_number": "701-364-9990",
            "fax_number": "701-364-9990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2701 9TH AVE S STE F",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581038712",
            "telephone_number": "701-364-9990",
            "fax_number": "701-364-9990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "MICHAEL",
        "middle_name": "S.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-07-01",
        "last_updated": "2013-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "ND",
            "license": "2176",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew Christopher Johnson, MD
• Max Ray Johnson, MD
• Meghan Johnson, DPT
• Melanie Kathryn Johnson, OTR/L
• Merrick Johnson, MD
• Miranda Jo Johnson, MS CCC-SLP
• N Johnson
• Noah Johnson, PHARM.D
• Norma June Johnson, LICSW
• Olivia Jo Johnson, RBT

• Dentist in Fargo, ND
• Providers in Fargo, ND by specialty
• Dentist in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.