NPIMap

Organization Active NPI

Steven G. Johnson Dental Corporation

Doing business as Johnson Family Dental

  • General Practice Dentistry
  • Camarillo, CA
National Provider Identifier
1770975492
Registry record updated Jan 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
STEVEN G. JOHNSON DENTAL CORPORATION
Doing business as
Johnson Family Dental
Practice address
5800 Santa Rosa Rd
Suite 101
Camarillo, CA 93012-7056
Phone
(805) 987-8782
Fax
(805) 987-5649
NPI assigned
Mar 4, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2021

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

Authorized official

Name
Ms. Amy Louise Buttery
Title
Operations Support Manager
Phone
(805) 456-1235

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

5800 Santa Rosa Rd
Suite 101
Camarillo, CA 93012-7056

Mailing address

5800 Santa Rosa Rd
Suite 101
Camarillo, CA 93012-7056
Phone (805) 987-8782

Other identifiers 1

IdentifierTypeStateIssuer
42163OtherCACALIFORNIA DENTAL LICENSE

Other names 1

  • Johnson Family Dental Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Johnson Family Dental11 organizations share this tax ID, including this one

Other organizations with this tax ID 10

Organizations that report the same tax identification number in the National Provider Directory.

Locations

5800 Santa Rosa Rd
Ste 101
Camarillo, CA 93012
Phone (805) 987-8782

Practitioners & affiliated clinicians

Practitioners 4

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

NPI Registry JSON

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

{
    "created_epoch": "1425427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1609718400000",
    "number": "1770975492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5800 SANTA ROSA RD",
            "address_2": "SUITE 101",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "930127056",
            "telephone_number": "805-987-8782",
            "fax_number": "805-987-5649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5800 SANTA ROSA RD",
            "address_2": "SUITE 101",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "930127056",
            "telephone_number": "805-987-8782",
            "fax_number": "805-987-5649"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEVEN G. JOHNSON DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-04",
        "last_updated": "2021-01-04",
        "certification_date": "2021-01-04",
        "status": "A",
        "authorized_official_last_name": "BUTTERY",
        "authorized_official_first_name": "AMY",
        "authorized_official_middle_name": "LOUISE",
        "authorized_official_title_or_position": "OPERATIONS SUPPORT MANAGER",
        "authorized_official_telephone_number": "805-456-1235",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CALIFORNIA DENTAL LICENSE",
            "identifier": "42163",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Johnson Family Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Camarillo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2021; 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.