Tad Terrence Johnson, DDS MS

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

1456559921 Issued in UT

Practice address

1845 W 4400 S
Suite 3B
Roy, UT 84067

Phone

(801) 731-0088

Fax

(801) 731-0099

NPI assigned

Aug 1, 2006

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1730196981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1845 W 4400 S",
            "address_2": "SUITE 3B",
            "city": "ROY",
            "state": "UT",
            "postal_code": "84067",
            "telephone_number": "801-731-0088",
            "fax_number": "801-731-0099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1845 W 4400 S",
            "address_2": "SUITE 3B",
            "city": "ROY",
            "state": "UT",
            "postal_code": "84067",
            "telephone_number": "801-731-0088",
            "fax_number": "801-731-0099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "TAD",
        "middle_name": "TERRENCE",
        "name_prefix": "Dr.",
        "credential": "DDS MS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "UT",
            "license": "1456559921",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Johnson
• Jodi Johnson, ATC/L, PES
• Kevin Wendell Johnson, MD
• Phil H Johnson, NP
• Sandra Lowe Johnson, APRN
• Madison Johnston
• Jonathan F. Richards, DDS, Ms, P.C. (Eastlake Endodontics)
• Jennifer Leanne Jones, SUDC, LCSW
• Joni Michelle Jones, FNP
• Madison Jorgensen

• Orthodontics and Dentofacial Orthopedics Dentistry in Roy, UT
• Providers in Roy, UT by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.