Moses Johnson, DDS

Primary specialty

Public Health DentistryTaxonomy code 1223D0001X

License

DN14317 Issued in FL

Practice address

714 Avenue C
Fort Pierce, FL 34950-4189

Phone

(772) 462-3833

Fax

(772) 462-3865

NPI assigned

Jan 11, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 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": "1168473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1811047715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5150 NW MILNER DR",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349833392",
            "telephone_number": "772-462-3833",
            "fax_number": "772-462-3865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "714 AVENUE C",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349504189",
            "telephone_number": "772-462-3833",
            "fax_number": "772-462-3865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "MOSES",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-11",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223D0001X",
            "taxonomy_group": "",
            "desc": "Dentist, Dental Public Health",
            "state": "FL",
            "license": "DN14317",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "DN14317",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Deborah Johnson
• Destiny Unique Johnson
• Erica Ayanna Johnson, BSW
• Konica Johnson
• Laqunda Johnson
• Octavia Samteshia Johnson, CNA
• Rashandia Johnson, BA
• Stacy S Johnson, MSW
• Tishunda Dorice Johnson, M.S., CCC, SLP
• Jay Hunter Johnston, PA-C

• Public Health Dentistry in Fort Pierce, FL
• Providers in Fort Pierce, FL by specialty
• Public Health Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.