Jasenna Tyesha Johnson, DDS

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

9577 Issued in NC

Practice address

422 N Holly Ave
Siler City, NC 27344-3063

Phone

(919) 799-7100

Fax

(919) 766-0991

NPI assigned

Nov 26, 2013

Sex

Female

Sole proprietor

Yes

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

Enrolled in NC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Jasenna Johnson, DDS, PLLC

  • Dental Clinic/Center
  • Siler City, NC
  • NPI 1629606702
  NPD Authorized official
• L'Tanya J. Bailey, D.D.S, Ms, PLLC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • High Point, NC
  • NPI 1518015114
  NPD (past)

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

{
    "created_epoch": "1385424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715558400000",
    "number": "1750711818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "422 N HOLLY AVE",
            "city": "SILER CITY",
            "state": "NC",
            "postal_code": "273443063",
            "telephone_number": "919-799-7100",
            "fax_number": "919-766-0991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "422 N HOLLY AVE",
            "city": "SILER CITY",
            "state": "NC",
            "postal_code": "273443063",
            "telephone_number": "919-799-7100",
            "fax_number": "919-766-0991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "JASENNA",
        "middle_name": "TYESHA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-11-26",
        "last_updated": "2024-05-13",
        "certification_date": "2024-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "VA",
            "license": "0401417370",
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "NC",
            "license": "9577",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Instride Foot and Ankle Specialists, PLLC
• Caroline Elizabeth Irick, OTR/L
• Alissa Marie Jacobson, PT
• Jasenna Johnson, DDS, PLLC
• Miguel Eduardo Joaquin, MD
• Sakeena Jordan
• Rachel Adele Kaisinger, LPCA, LCAS-A
• Tina Renee Keis
• Emily Annette Kidd, CPSS
• Kidzcare Pediatrics, PC

• Orthodontics and Dentofacial Orthopedics Dentistry in Siler City, NC
• Providers in Siler City, NC by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.