Betty Marleena Johnson, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

64969 Issued in CA

Practice address

1000 W Carson Street
Box 19
Carson, CA 90502

Phone

(310) 668-4202

NPI assigned

Jul 2, 2014

Last updated

Apr 3, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Interoperability endpoints

• Direct secure messaging: betty.johnsondds.p1@direct.jwch.nextgenshare.com

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

{
    "created_epoch": "1404259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680480000000",
    "number": "1811303555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "707 E OCEAN BLVD",
            "address_2": "APT 516",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "90802",
            "telephone_number": "601-940-6593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 W CARSON STREET",
            "address_2": "BOX 19",
            "city": "CARSON",
            "state": "CA",
            "postal_code": "90502",
            "telephone_number": "310-668-4202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "BETTY",
        "middle_name": "MARLEENA",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-02",
        "last_updated": "2023-04-03",
        "certification_date": "2023-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "64969",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessy Joe Inc
• Srisha Anil Jhangiani, PA-C
• Karla Mariana Jimenez Munoz
• JMJ Medical Supply & Equipment, Inc.
• Helen Joe, PHARM.D.
• Boshanda Johnson, CHHA
• Kaelyn Maxine Johnson, RD
• Kelly Lynn Johnson, MSOT
• Lisa Yvonne Johnson
• Donna Marva Jones, NP-C, MA, MSN

• General Practice Dentistry in Carson, CA
• Providers in Carson, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2023; 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.