Brad S. Johnson, DMD, PLLC

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

DS8950 Issued in TN

Legal business name

BRAD S. JOHNSON, DMD, PLLC

Practice address

1551 E Morris Blvd
Morristown, TN 37813-5729

Phone

(423) 587-8383

Fax

(423) 587-8382

NPI assigned

Dec 21, 2010

Last updated

Dec 21, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Brad S Johnson, DMD

Title

Owner

Phone

(423) 587-8383

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1292889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1292889600000",
    "number": "1811290497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1551 E MORRIS BLVD",
            "city": "MORRISTOWN",
            "state": "TN",
            "postal_code": "378135729",
            "telephone_number": "423-587-8383",
            "fax_number": "423-587-8382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1551 E MORRIS BLVD",
            "city": "MORRISTOWN",
            "state": "TN",
            "postal_code": "378135729",
            "telephone_number": "423-587-8383",
            "fax_number": "423-587-8382"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRAD S. JOHNSON, DMD, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-21",
        "last_updated": "2010-12-21",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "BRAD",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "423-587-8383",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "TN",
            "license": "DS8950",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "151-3459",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lori M Bouton, APN
• Genevieve Bower, RN, BSN, MS, IBCLC
• Tina E Bowles, APRN
• Haley Bowlin
• J Sidney Boyd, DDS
• Nancy Laing Bradley, PT
• Janie Herndon Brady, RN
• Rebecca Brady
• Sarah Elizabeth Branch
• Hunter L Brandon, OTD

• Oral and Maxillofacial Surgery (Dentist) in Morristown, TN
• Providers in Morristown, TN by specialty
• Oral and Maxillofacial Surgery (Dentist) in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2010; 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.