NPIMap

Organization Active NPI

Steven G. Johnson Dental Corp

Doing business as Johnson Family Dental

  • General Practice Dentistry
  • Paso Robles, CA
National Provider Identifier
1780272955
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 CORP
Doing business as
Johnson Family Dental
Practice address
2051 Theatre Dr Ste 105
Paso Robles, CA 93446-9629
Phone
(805) 322-3555
NPI assigned
Jan 4, 2021
Last updated
Jan 4, 2021By the provider in NPPES
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
Amy Buttery
Title
Operations Support Manager
Phone
(805) 456-1235

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X NU Primary

Addresses

Primary practice location

2051 Theatre Dr Ste 105
Paso Robles, CA 93446-9629

Mailing address

2051 Theatre Dr Ste 105
Paso Robles, CA 93446-9629
Phone (805) 322-3555

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

2051 Theatre Dr
Ste 105
Paso Robles, CA 93446
Phone (805) 322-3555

NPI Registry JSON

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

{
    "created_epoch": "1609718400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1609718400000",
    "number": "1780272955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2051 THEATRE DR STE 105",
            "city": "PASO ROBLES",
            "state": "CA",
            "postal_code": "934469629",
            "telephone_number": "805-322-3555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2051 THEATRE DR STE 105",
            "city": "PASO ROBLES",
            "state": "CA",
            "postal_code": "934469629",
            "telephone_number": "805-322-3555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEVEN G. JOHNSON DENTAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-04",
        "last_updated": "2021-01-04",
        "certification_date": "2021-01-04",
        "status": "A",
        "authorized_official_last_name": "BUTTERY",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "OPERATIONS SUPPORT MANAGER",
        "authorized_official_telephone_number": "805-456-1235"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Johnson Family Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Paso Robles, 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.