Ryan a Johnson DDS PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

6592 Issued in OK

Legal business name

RYAN A JOHNSON DDS PLLC

Practice address

400 Fairview Ave
Suite 6
Ponca City, OK 74601-1920

Phone

(580) 765-2589

Fax

(580) 762-2199

NPI assigned

Jun 2, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Ryan A Johnson, D.D.S.NPI 1417369042

Title

Managing Partner

Phone

(918) 260-2395

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ryan Alan Johnson, D.D.S.

  • Dentist
  • Ponca City, OK
  • NPI 1417369042
  NPD (past) Authorized official
• Lionel Everett Bair II, D.D.S.

  • General Practice Dentistry
  • Ponca City, OK
  • NPI 1386636967
  NPD (past)

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

{
    "created_epoch": "1401667200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1401667200000",
    "number": "1750793261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 FAIRVIEW AVE",
            "address_2": "SUITE 6",
            "city": "PONCA CITY",
            "state": "OK",
            "postal_code": "746011920",
            "telephone_number": "580-765-2589",
            "fax_number": "580-762-2199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 FAIRVIEW AVE",
            "address_2": "SUITE 6",
            "city": "PONCA CITY",
            "state": "OK",
            "postal_code": "746011920",
            "telephone_number": "580-765-2589",
            "fax_number": "580-762-2199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RYAN A JOHNSON DDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-02",
        "last_updated": "2014-06-02",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "RYAN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "918-260-2395",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "OK",
            "license": "6592",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lila Marie Roughface
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• Lyndse Richelle Rust
• S V Vaidya MD PC
• Sage Bradbury Commons
• Miguel Leonardo Sanchez
• Brenda Alane Sanders, MA, CCC-SLP
• Sean Patrick Satterfield, M.ED. CCC-SLP

• General Practice Dentistry in Ponca City, OK
• Providers in Ponca City, OK by specialty
• General Practice Dentistry in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2014; 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.