Active NPI
Robert B Johnson, M.D.
- Dermatology Physician
- Cary, NC
National Provider Identifier
1730175365
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- 29125
- Practice address
- 101 SW Cary Pkwy
Suite 210
Cary, NC 27511-5562 - Phone
- (919) 467-8556
- Fax
- (919) 380-1480
- NPI assigned
- Sep 20, 2005
- 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 |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | 29125 | NC | Primary |
Addresses
Primary practice location
101 SW Cary Pkwy
Suite 210
Cary, NC 27511-5562
Mailing address
101 SW Cary Pkwy
Suite 210
Cary, NC 27511-5562
Phone (919) 467-8556
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 46476 | Other | NC | BLUE CROSS AND BLUE SHIEL |
| 03-55791 | Other | NC | UNITED HEALTHCARE |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 29125 | NC | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rochester General Hospital | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Acute Care Hospital
- Rochester, NY
- NPI 1063531929
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127174400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1730175365",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 SW CARY PKWY",
"address_2": "SUITE 210",
"city": "CARY",
"state": "NC",
"postal_code": "275115562",
"telephone_number": "919-467-8556",
"fax_number": "919-380-1480"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 SW CARY PKWY",
"address_2": "SUITE 210",
"city": "CARY",
"state": "NC",
"postal_code": "275115562",
"telephone_number": "919-467-8556",
"fax_number": "919-380-1480"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "ROBERT",
"middle_name": "B",
"name_prefix": "Mr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-20",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "NC",
"license": "29125",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS AND BLUE SHIEL",
"identifier": "46476",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "03-55791",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Cary, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.