Johnson Family Dentistry, PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2001 Issued in ND

Legal business name

JOHNSON FAMILY DENTISTRY, PC

Practice address

503 3Rd St NE
Devils Lake, ND 58301-3015

Phone

(701) 662-4961

Fax

(701) 662-4962

NPI assigned

May 15, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Kirsten A. Andrews, DDS

Title

Owner

Phone

(701) 662-4961

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1210809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1439251200000",
    "number": "1780851014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "503 3RD ST NE",
            "city": "DEVILS LAKE",
            "state": "ND",
            "postal_code": "583013015",
            "telephone_number": "701-662-4961",
            "fax_number": "701-662-4962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "503 3RD ST NE",
            "city": "DEVILS LAKE",
            "state": "ND",
            "postal_code": "583013015",
            "telephone_number": "701-662-4961",
            "fax_number": "701-662-4962"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHNSON FAMILY DENTISTRY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-15",
        "last_updated": "2015-08-11",
        "status": "A",
        "authorized_official_last_name": "ANDREWS",
        "authorized_official_first_name": "KIRSTEN",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "701-662-4961",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "ND",
            "license": "2001",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "40104",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Janssen
• Tonie Jay
• Vavial L Jeffrey
• Jason Richard Jenssen
• Catherine Johns, LBSW
• Amber Johnson, RN
• Megan Johnson
• Richard E Johnson, MD
• Roger C Johnson, DDS
• Alisha Leigh Johnston, DPM

• General Practice Dentistry in Devils Lake, ND
• Providers in Devils Lake, ND by specialty
• General Practice Dentistry in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2015; 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.