NPIMap

Organization Active NPI

Beverly a. Johnson, MD, PC

  • Dermatology Physician
  • Silver Spring, MD
National Provider Identifier
1720354871
Registry record updated Mar 22, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
D63494 Issued in MD
Legal business name
BEVERLY A. JOHNSON, MD, PC
Practice address
11161 New Hampshire Ave
Silver Spring, MD 20904-2606
Phone
(301) 593-7546
Fax
(301) 593-5727
NPI assigned
Mar 22, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2012

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

Authorized official

Name
Beverly A Johnson, M.D.
Title
Owner
Phone
(301) 593-7546

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207N00000X D63494 MD Primary

Addresses

Primary practice location

11161 New Hampshire Ave
Silver Spring, MD 20904-2606

Mailing address

PO Box 10953
Silver Spring, MD 20914-0953
Phone (301) 593-7546

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1332374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332374400000",
    "number": "1720354871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10953",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209140953",
            "telephone_number": "301-593-7546",
            "fax_number": "301-593-5727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11161 NEW HAMPSHIRE AVE",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209042606",
            "telephone_number": "301-593-7546",
            "fax_number": "301-593-5727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEVERLY A. JOHNSON, MD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-22",
        "last_updated": "2012-03-22",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "BEVERLY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "301-593-7546",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "MD",
            "license": "D63494",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Silver Spring, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 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.