Organization Active NPI

Johnny Johnson Jr., PA

Doing business as Dr. Johnny Johnson and Associates

  • Pediatric Dentistry
  • Palm Harbor, FL
National Provider Identifier
1720331812
Registry record updated Oct 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
DN9643 Issued in FL
Legal business name
JOHNNY JOHNSON JR., PA
Doing business as
Dr. Johnny Johnson and Associates
Practice address
3840 Tampa Rd
Palm Harbor, FL 34684-3600
Phone
(727) 786-7551
Fax
(727) 784-7644
NPI assigned
Oct 26, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2012

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

Authorized official

Name
Dr. Johnny Johnson Jr., DMD
Title
Owner
Phone
(727) 786-7551

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0221X DN9643 FL Primary

Addresses

Primary practice location

3840 Tampa Rd
Palm Harbor, FL 34684-3600

Mailing address

3840 Tampa Rd
Palm Harbor, FL 34684-3600
Phone (727) 786-7551

Other names 1

  • Dr. Johnny Johnson and Associates Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1351209600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1351209600000",
    "number": "1720331812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3840 TAMPA RD",
            "city": "PALM HARBOR",
            "state": "FL",
            "postal_code": "346843600",
            "telephone_number": "727-786-7551",
            "fax_number": "727-784-7644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3840 TAMPA RD",
            "city": "PALM HARBOR",
            "state": "FL",
            "postal_code": "346843600",
            "telephone_number": "727-786-7551",
            "fax_number": "727-784-7644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHNNY JOHNSON JR., PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-26",
        "last_updated": "2012-10-26",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "JOHNNY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "727-786-7551",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "FL",
            "license": "DN9643",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dr. Johnny Johnson and Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Palm Harbor, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2012; 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.