NPIMap

Organization Active NPI

Dr. Jeff Wayne Johnson DDS

  • General Practice Dentistry
  • Reidsville, NC
National Provider Identifier
1790953776
Registry record updated Feb 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
4497 Issued in NC
Legal business name
DR. JEFF WAYNE JOHNSON DDS
Practice address
1212 Freeway Dr
Reidsville, NC 27320-7170
Phone
(336) 342-0102
Fax
(336) 342-0123
NPI assigned
Feb 13, 2008
Last updated
Feb 13, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2008

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

Authorized official

Name
Dr. Jeff JohnsonNPI 1265456164
Title
Dentist
Phone
(336) 342-0102

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 4497 NC Primary

Addresses

Primary practice location

1212 Freeway Dr
Reidsville, NC 27320-7170

Mailing address

1212 Freeway Dr
Reidsville, NC 27320-7170
Phone (336) 342-0102

National Provider Directory

National Provider Directory

Locations

1212 Freeway Dr
Reidsville, NC 27320
Phone (336) 342-0102

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1202860800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202860800000",
    "number": "1790953776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1212 FREEWAY DR",
            "city": "REIDSVILLE",
            "state": "NC",
            "postal_code": "273207170",
            "telephone_number": "336-342-0102",
            "fax_number": "336-342-0123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1212 FREEWAY DR",
            "city": "REIDSVILLE",
            "state": "NC",
            "postal_code": "273207170",
            "telephone_number": "336-342-0102",
            "fax_number": "336-342-0123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. JEFF WAYNE JOHNSON DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-13",
        "last_updated": "2008-02-13",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "JEFF",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "336-342-0102",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "4497",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reidsville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2008; 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.