Douglas William Johnson, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

24124 Issued in CA

Practice address

980 E Foothill Blvd Ste 104
Upland, CA 91786-4068

Phone

(909) 981-3341

Fax

(909) 985-8457

NPI assigned

May 21, 2007

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1790994580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "980 E FOOTHILL BLVD STE 104",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917864068",
            "telephone_number": "909-981-3341",
            "fax_number": "909-985-8457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "980 E FOOTHILL BLVD STE 104",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917864068",
            "telephone_number": "909-981-3341",
            "fax_number": "909-985-8457"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "DOUGLAS",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "24124",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley C Johnson, CADC-II CA
• Damon Johnson
• Dane George Johnson, DPT
• David M Johnson
• Deantwann Johnson
• Franklin Martin Johnson Jr., D.O.
• Judith A Johnson, P.T.
• Rachel R Johnson, D.D.S
• Renee Rose Johnson, MSN, RN, FNP
• Robert Johnson

• General Practice Dentistry in Upland, CA
• Providers in Upland, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.