Organization Active NPI

Chad E Johnson DDS PC

  • Dentist
  • Johnson City, TN
National Provider Identifier
1801215827
Registry record updated Apr 8, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
8138 Issued in TN
Legal business name
CHAD E JOHNSON DDS PC
Practice address
2335 Knob Creek Rd
Suite 107
Johnson City, TN 37604-2002
Phone
(423) 282-1030
Fax
(423) 282-4714
NPI assigned
Apr 8, 2014
Last updated
Apr 8, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2014

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

Authorized official

Name
Valerie S Callahan
Title
Office Manager
Phone
(423) 282-1030

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 8138 TN Primary
Dentist 122300000X 9466 TN

Addresses

Primary practice location

2335 Knob Creek Rd
Suite 107
Johnson City, TN 37604-2002

Mailing address

2335 Knob Creek Rd
Suite 107
Johnson City, TN 37604-2002
Phone (423) 282-1030

National Provider Directory

National Provider Directory

Locations

2335 Knob Creek Rd
Ste 107
Johnson City, TN 37604
Phone (423) 282-1030

Practitioners & affiliated clinicians

Practitioners 2

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": "1396915200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1396915200000",
    "number": "1801215827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2335 KNOB CREEK RD",
            "address_2": "SUITE 107",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376042002",
            "telephone_number": "423-282-1030",
            "fax_number": "423-282-4714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2335 KNOB CREEK RD",
            "address_2": "SUITE 107",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376042002",
            "telephone_number": "423-282-1030",
            "fax_number": "423-282-4714"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHAD E JOHNSON DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-08",
        "last_updated": "2014-04-08",
        "status": "A",
        "authorized_official_last_name": "CALLAHAN",
        "authorized_official_first_name": "VALERIE",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "423-282-1030"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TN",
            "license": "8138",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TN",
            "license": "9466",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Johnson City, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2014; 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.