Andrew Kincaid Johnson, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

17086 Issued in TX

Practice address

4501 50TH St
Lubbock, TX 79414-3613

Phone

(806) 792-9811

Fax

(806) 792-4450

NPI assigned

Mar 6, 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Interoperability endpoints

• Direct secure messaging: andrew.johnsondds@direct.myteamcare.com

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

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1740310218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4501 50TH ST",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794143613",
            "telephone_number": "806-792-9811",
            "fax_number": "806-792-4450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4501 50TH ST",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794143613",
            "telephone_number": "806-792-9811",
            "fax_number": "806-792-4450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "ANDREW",
        "middle_name": "KINCAID",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "17086",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Vinings, DDS, P.a.
• John W Epperson, D.D.S., P.a.
• John Walter Michels; Step by Step Counseling Services
• Johnny Qubty, MD,PA
• Stephanie Johnsey, APRN
• Barbara Lynn Johnson, LPC
• Benjamin L Johnson, PA-C, ATC
• Brian Johnson, MSNA, CRNA
• Carson Lee Johnson, M.D.
• Caytelynn May Johnson, OTR

• General Practice Dentistry in Lubbock, TX
• Providers in Lubbock, TX by specialty
• General Practice Dentistry in Texas

• 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.