Laura Ellen Sutton Johnson, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

8769 Issued in NC

Practice address

6132 Carolina Beach Rd
Suite 6 Masonboro Landing
Wilmington, NC 28412-2788

Phone

(910) 392-9101

NPI assigned

Jun 10, 2009

Last updated

Jun 10, 2009By the provider in NPPES

Sex

Female

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

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Joey D Pesicek

  dba kinston dental associates

  • General Practice Dentistry
  • Kinston, NC
  • NPI 1164697108
  NPD (past)

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

{
    "created_epoch": "1244592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1244592000000",
    "number": "1750517389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6132 CAROLINA BEACH RD",
            "address_2": "SUITE 6 MASONBORO LANDING",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284122788",
            "telephone_number": "910-392-9101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6132 CAROLINA BEACH RD",
            "address_2": "SUITE 6 MASONBORO LANDING",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284122788",
            "telephone_number": "910-392-9101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "LAURA",
        "middle_name": "ELLEN SUTTON",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-10",
        "last_updated": "2009-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NC",
            "license": "8769",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Wootton Johnson, DO
• Kevin Johnson, PHARMD
• Kevin Micheal Johnson, DC
• Kim Anne Johnson, LMFT
• Kiszy Shenea Johnson
• Leslie Black Johnson, MA, LCMHC
• Lindsey Johnson, LCSW
• Lisa Yvette Johnson
• Lottie Zhevonda Johnson, PHARM.D.
• Marissa Johnson, FNP-C

• Dentist in Wilmington, NC
• Providers in Wilmington, NC by specialty
• Dentist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 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.