Reuben Johnson, D.D.S.

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

63515 Issued in CA

Practice address

17875 Von Karman Ave Ste 440
Irvine, CA 92614-6273

Phone

(949) 561-1833

NPI assigned

Jul 10, 2012

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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.

• Johnson DDS & Keshav DDS, Inc

  • Endodontics
  • Irvine, CA
  • NPI 1861100794
  NPD
• The Arbor Dental Group

  • General Practice Dentistry
  • Irvine, CA
  • NPI 1518311026
  NPD (past)

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

{
    "created_epoch": "1341878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698278400000",
    "number": "1750646261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17875 VON KARMAN AVE STE 440",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926146273",
            "telephone_number": "650-270-0556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17875 VON KARMAN AVE STE 440",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926146273",
            "telephone_number": "949-561-1833"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14785 Jeffrey Rd Ste 205",
            "address_purpose": "LOCATION",
            "city": "Irvine",
            "state": "CA",
            "postal_code": "926180412",
            "country_code": "US",
            "telephone_number": "949-551-1443",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "REUBEN",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-07-10",
        "last_updated": "2023-10-26",
        "certification_date": "2023-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "CA",
            "license": "63515",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Keith A Johnson, DDS
• Kendra Chideya Johnson
• Kenneth Andrew Johnson, M.D.
• Lori Johnson, PSYD
• Ramona Elizabeth Johnson, M.D.
• Staci R Johnson, LMHC, LPCC
• Trishia Johnson, DDS
• Wendy Johnson
• Lindsey Lee Johnston
• Michele Marie Johnston

• Endodontics in Irvine, CA
• Providers in Irvine, CA by specialty
• Endodontics in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2023; 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.