Active NPI
Gary Leonard Johnson Jr., DDS
- Dentist
- Chico, CA
National Provider Identifier
1750350195
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 52873
- Practice address
- 2730 Cohasset Rd
Chico, CA 95973-0977 - Phone
- (530) 343-5587
- Fax
- (530) 343-5824
- NPI assigned
- Mar 17, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 52873 | CA | Primary |
Addresses
Primary practice location
2730 Cohasset Rd
Chico, CA 95973-0977
Mailing address
2730 Cohasset Rd
Chico, CA 95973-0977
Phone (530) 343-5587
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 52873 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142553600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1449014400000",
"number": "1750350195",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2730 COHASSET RD",
"city": "CHICO",
"state": "CA",
"postal_code": "959730977",
"telephone_number": "530-343-5587",
"fax_number": "530-343-5824"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2730 COHASSET RD",
"city": "CHICO",
"state": "CA",
"postal_code": "959730977",
"telephone_number": "530-343-5587",
"fax_number": "530-343-5824"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "GARY",
"middle_name": "LEONARD",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-03-17",
"last_updated": "2015-12-02",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "52873",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chico, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.