Organization Active NPI

Dennis D. Johnson DMD PC

  • Oral and Maxillofacial Surgery Clinic/Center
  • Salem, OR
National Provider Identifier
1811149297
Registry record updated Oct 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery Clinic/CenterTaxonomy code 261QS0112X
License
D4839 Issued in OR
Legal business name
DENNIS D. JOHNSON DMD PC
Practice address
410 Lancaster Dr NE Ste a
Salem, OR 97301-4794
Phone
(503) 581-9419
Fax
(503) 581-0438
NPI assigned
Oct 16, 2008
Last updated
Oct 16, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2008

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

Authorized official

Name
Dr. Dennis D Johnson, DMDNPI 1124242813
Title
President
Phone
(503) 581-9419

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery Clinic/Center 261QS0112X D4839 OR Primary

Addresses

Primary practice location

410 Lancaster Dr NE Ste a
Salem, OR 97301-4794

Mailing address

410 Lancaster Dr NE Ste a
Salem, OR 97301-4794
Phone (503) 581-9419

National Provider Directory

National Provider Directory

Locations

410 Lancaster Dr NE
Ste A
Salem, OR 97301
Phone (503) 581-9419

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": "1224115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1224115200000",
    "number": "1811149297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 LANCASTER DR NE STE A",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973014794",
            "telephone_number": "503-581-9419",
            "fax_number": "503-581-0438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 LANCASTER DR NE STE A",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973014794",
            "telephone_number": "503-581-9419",
            "fax_number": "503-581-0438"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENNIS D. JOHNSON DMD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-16",
        "last_updated": "2008-10-16",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "503-581-9419",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QS0112X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Oral and Maxillofacial Surgery",
            "state": "OR",
            "license": "D4839",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salem, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 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.