NPIMap

Organization Active NPI

Eric M Johnsen DMD, Inc

  • Dentist
  • Portsmouth, RI
National Provider Identifier
1740413657
Registry record updated Aug 25, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DEN1945 Issued in RI
Legal business name
ERIC M JOHNSEN DMD, INC
Practice address
880 E Main Rd
Portsmouth, RI 02871-2340
Phone
(401) 683-5855
NPI assigned
Aug 25, 2009
Last updated
Aug 25, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2009

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

Authorized official

Name
Eric M Johnsen, DMDNPI 1598883092
Title
Owner
Phone
(401) 683-5855

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X DEN1945 RI Primary

Addresses

Primary practice location

880 E Main Rd
Portsmouth, RI 02871-2340

Mailing address

880 E Main Rd
Portsmouth, RI 02871-2340
Phone (401) 683-5855

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1251158400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1251158400000",
    "number": "1740413657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "880 E MAIN RD",
            "city": "PORTSMOUTH",
            "state": "RI",
            "postal_code": "028712340",
            "telephone_number": "401-683-5855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "880 E MAIN RD",
            "city": "PORTSMOUTH",
            "state": "RI",
            "postal_code": "028712340",
            "telephone_number": "401-683-5855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ERIC M JOHNSEN DMD, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-25",
        "last_updated": "2009-08-25",
        "status": "A",
        "authorized_official_last_name": "JOHNSEN",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "401-683-5855",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "RI",
            "license": "DEN1945",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portsmouth, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2009; 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.