Reed E Johnson DDS

Primary specialty

DentistTaxonomy code 122300000X

License

12009024 Issued in IN

Legal business name

REED E JOHNSON DDS

Doing business as

Creekside Cosmetic and Family Dentistry

Practice address

410 W Main St
Plainfield, IN 46168

Phone

(317) 839-3502

NPI assigned

Sep 14, 2007

Organization subpart

No

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

Authorized official

Name

Reed Ellis Johnson, DDSNPI 1306028899

Title

Pres Owner

Phone

(317) 839-3502

Specialties & licenses 1

Addresses

Other names 1

• Creekside Cosmetic and Family Dentistry Doing business as

Locations

Practitioners 1

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

• Reed E Johnson, DDS

  • Dentist
  • Plainfield, IN
  • NPI 1306028899
  NPD (past) Authorized official

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

{
    "created_epoch": "1189728000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189728000000",
    "number": "1801082656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 W MAIN ST",
            "city": "PLAINFIELD",
            "state": "IN",
            "postal_code": "46168",
            "telephone_number": "317-839-3502",
            "fax_number": "317-298-6392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 W MAIN ST",
            "city": "PLAINFIELD",
            "state": "IN",
            "postal_code": "46168",
            "telephone_number": "317-839-3502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REED E JOHNSON DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-14",
        "last_updated": "2007-09-14",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "REED",
        "authorized_official_middle_name": "ELLIS",
        "authorized_official_title_or_position": "PRES OWNER",
        "authorized_official_telephone_number": "317-839-3502",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "IN",
            "license": "12009024",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Creekside Cosmetic and Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Kendra Leigh Rininger, NP

• Dentist in Plainfield, IN
• Providers in Plainfield, IN by specialty
• Dentist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 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.