Gregory P Johnson DDS Ms Inc

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

D22813 Issued in CA

Legal business name

GREGORY P JOHNSON DDS MS INC

Practice address

5394 Walnut Ave Ste H
Irvine, CA 92604-2591

Phone

(949) 552-5800

Fax

(949) 552-8905

NPI assigned

Dec 27, 2011

Organization subpart

No

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

Authorized official

Name

Gregory Packer Johnson, DDSNPI 1740306794

Title

President

Phone

(949) 552-5800

Specialties & licenses 1

Addresses

Other identifiers 3

Practitioners 1

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

• Gregory P Johnson, DDS, MS

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Irvine, CA
  • NPI 1740306794
  NPD (past) Authorized official

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

{
    "created_epoch": "1324944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1325203200000",
    "number": "1790054344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5394 WALNUT AVE STE H",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926042591",
            "telephone_number": "949-552-5800",
            "fax_number": "949-552-8905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5394 WALNUT AVE STE H",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926042591",
            "telephone_number": "949-552-5800",
            "fax_number": "949-552-8905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREGORY P JOHNSON DDS MS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-27",
        "last_updated": "2011-12-30",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "PACKER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "949-552-5800",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CA",
            "license": "D22813",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CALIFORNIA CHILDREN'S SERVICES",
            "identifier": "CGP171091",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTICAL",
            "identifier": "B22813",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CALIFORNIA CHILDREN'S SERVICES",
            "identifier": "CGP097860",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mareen Greenway, M.D
• Barbara Greenwell, APRN
• Gregory a. Cherney, D.C. Professional Chiropractic Corporation
• Gregory Clibon, DDS Apc Heritage Family Dental
• Gregory K. Saito (dba Hill's Physical Therapy)
• Gregory T Whitman MD Inc
• Amanda Greiwe, LMFT
• Sungat Grewal, MD
• Michael A. Grey, PSYD, LMFT
• Krystle Nicole Grgich, M.A., BCBA

• Orthodontics and Dentofacial Orthopedics Dentistry in Irvine, CA
• Providers in Irvine, CA by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2011; 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.