Gregory P Johnson, DDS, MS

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

D22813 Issued in CA

Practice address

5394 Walnut Ave
Suite H
Irvine, CA 92604-2505

Phone

(949) 552-5800

Fax

(949) 552-8905

NPI assigned

Mar 21, 2007

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

Other identifiers 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

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.

• Gregory P Johnson DDS Ms Inc

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Irvine, CA
  • NPI 1790054344
  NPD (past) Authorized official

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

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1325203200000",
    "number": "1740306794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5394 WALNUT AVE",
            "address_2": "SUITE H",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926042505",
            "telephone_number": "949-552-5800",
            "fax_number": "949-552-8905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5394 WALNUT AVE",
            "address_2": "SUITE H",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926042505",
            "telephone_number": "949-552-5800",
            "fax_number": "949-552-8905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "GREGORY",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "DDS, MS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-21",
        "last_updated": "2011-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CA",
            "license": "D22813",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CALIFORNIA CHILDREN'S SERVICES",
            "identifier": "CGP171091",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTICAL",
            "identifier": "1790054344",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTICAL",
            "identifier": "B22813",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CALIFORNIA CHILDREN'S SERVICES",
            "identifier": "CGP097860",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amy Marie Johnson
• Brent Anthony Johnson
• Dezmond Johnson I
• Emily Mills Johnson, M.D.
• Erin Johnson
• Isabella Johnson
• Ivy M. Johnson, PA-C
• James Harlan Johnson, M.D.
• Jessica Marie Johnson
• Jonathan Johnson

• Orthodontics and Dentofacial Orthopedics Dentistry in Irvine, CA
• Providers in Irvine, CA by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2011; 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.