Organization Active NPI

Austin Johnson DDS PLLC

  • Dentist
  • Madisonville, TN
National Provider Identifier
1720722135
Registry record updated Apr 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
AUSTIN JOHNSON DDS PLLC
Practice address
210 Warren St
Madisonville, TN 37354-1090
Phone
(901) 643-7576
NPI assigned
Apr 21, 2022
Last updated
Apr 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2022

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

Authorized official

Name
Austin JohnsonNPI 1770063208
Title
Dentist
Phone
(901) 643-7576

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X NU Primary

Addresses

Primary practice location

210 Warren St
Madisonville, TN 37354-1090

Mailing address

210 Warren St
Madisonville, TN 37354-1090

National Provider Directory

National Provider Directory

Locations

210 Warren St
Madisonville, TN 37354
Phone (423) 442-3928

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1650499200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1650499200000",
    "number": "1720722135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 WARREN ST",
            "city": "MADISONVILLE",
            "state": "TN",
            "postal_code": "373541090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 WARREN ST",
            "city": "MADISONVILLE",
            "state": "TN",
            "postal_code": "373541090",
            "telephone_number": "901-643-7576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUSTIN JOHNSON DDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-21",
        "last_updated": "2022-04-21",
        "certification_date": "2022-04-21",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "AUSTIN",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "901-643-7576"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madisonville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2022; 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.