Alesia Johnson, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

30.026304 Issued in OH

Practice address

526 Cooper St
Camden, NJ 08102-1211

Phone

(856) 541-9797

Fax

(856) 547-0797

NPI assigned

Oct 27, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1161907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629849600000",
    "number": "1730265273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "526 COOPER ST",
            "city": "CAMDEN",
            "state": "NJ",
            "postal_code": "081021211",
            "telephone_number": "856-541-9797",
            "fax_number": "856-547-0797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "526 COOPER ST",
            "city": "CAMDEN",
            "state": "NJ",
            "postal_code": "081021211",
            "telephone_number": "856-541-9797",
            "fax_number": "856-547-0797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "ALESIA",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-27",
        "last_updated": "2021-08-25",
        "certification_date": "2021-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "30.026304",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "22DI02073800",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melinda Pilar Jimenez, MSN, FNP-CB
• Samuel Jin
• Fendy JN Pierre Sr., M.D.
• Gagandeep Singh Johal, DO
• Charles Hilmer Johnsen, MD
• Gina Johnson
• Kareeka Johnson, LPN
• Karen Teresa Johnson, D.O.
• Mikala Johnson, PHARMD
• Miles Bradford Johnson

• General Practice Dentistry in Camden, NJ
• Providers in Camden, NJ by specialty
• General Practice Dentistry in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.