Todd L. Johnson, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

46616 Issued in CA

Practice address

8788 Greenback LN Ste 104
Orangevale, CA 95662-4083

Phone

(916) 967-1199

Fax

(916) 967-1239

NPI assigned

Aug 15, 2014

Sex

Male

Sole proprietor

Yes

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

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.

Opted out of Medicare

Yes, effective Oct 17, 2016 through Oct 17, 2026

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 and National Provider Directory roles.

• John L Johnson DDS and Todd L Johnson DDS Inc

  • General Practice Dentistry
  • Fair Oaks, CA
  • NPI 1003920364
  NPD (past) Authorized official

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

{
    "created_epoch": "1408060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641772800000",
    "number": "1750780722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8788 GREENBACK LN STE 104",
            "city": "ORANGEVALE",
            "state": "CA",
            "postal_code": "956624083",
            "telephone_number": "916-967-1199",
            "fax_number": "916-967-1239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8788 GREENBACK LN STE 104",
            "city": "ORANGEVALE",
            "state": "CA",
            "postal_code": "956624083",
            "telephone_number": "916-967-1199",
            "fax_number": "916-967-1239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "TODD",
        "middle_name": "L.",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-08-15",
        "last_updated": "2022-01-10",
        "certification_date": "2022-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "46616",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ernest Jarman III, PH.D.
• Ang Jin, DAOM
• Jeffrey L Johnson, D.D.S.
• Kristen Heather Johnson, MSW
• Marisa Tafare Johnson
• Ariana Jones
• Sophia Rae Jorgensen
• Claudia Camelia Juravle
• Susan Kaefer, P.T.
• Kelly Kaufert

• Dentist in Orangevale, CA
• Providers in Orangevale, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2022; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.