Richard Edward Johnson, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

30.017361 Issued in OH

Practice address

1036 S Verity Pkwy
Middletown, OH 45044-5513

Phone

(513) 454-1111

NPI assigned

May 20, 2008

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1211241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629244800000",
    "number": "1790942522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 HIGH ST FL 3",
            "city": "HAMILTON",
            "state": "OH",
            "postal_code": "450116078",
            "telephone_number": "513-454-1460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1036 S VERITY PKWY",
            "city": "MIDDLETOWN",
            "state": "OH",
            "postal_code": "450445513",
            "telephone_number": "513-454-1111"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3045 Busenbark Rd Ste B",
            "address_purpose": "LOCATION",
            "city": "Trenton",
            "state": "OH",
            "postal_code": "450675513",
            "country_code": "US",
            "telephone_number": "513-454-1111",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "RICHARD",
        "middle_name": "EDWARD",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-05-20",
        "last_updated": "2021-08-18",
        "certification_date": "2021-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "30.017361",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "richardj@myprimaryhealthsolutions.org",
            "affiliation": "N",
            "address_1": "1036 S Verity Pkwy",
            "city": "Middletown",
            "state": "OH",
            "country_code": "US",
            "postal_code": "450445513",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Carrie E Johnson, OTA/L
• Cheryl A Johnson, LISW-S
• Corby Samantha Johnson, LPN
• John T Johnson Jr., DDS
• Matthew Johnson
• Rosanta Marie Johnson, CNS
• Brendan Jonas
• Casey A Jones, PT, DPT
• Christina Jones
• Dustin Jones, D.O.

• General Practice Dentistry in Middletown, OH
• Providers in Middletown, OH by specialty
• General Practice Dentistry in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 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.