Active NPI
Steven A. Johnson, D.D.S.
- General Practice Dentistry
- Fitchburg, MA
National Provider Identifier
1811975394
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 15310
- Practice address
- 326 Nichols Rd
Fitchburg, MA 01420 - Phone
- (978) 878-8100
- Fax
- (978) 878-8326
- NPI assigned
- Jan 5, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 15310 | MA | Primary |
Addresses
Primary practice location
326 Nichols Rd
Fitchburg, MA 01420
Mailing address
326 Nichols Road
Fitchburg, MA 01420
Phone (978) 878-8516
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15310 | MA | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1136419200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1439337600000",
"number": "1811975394",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "326 NICHOLS ROAD",
"city": "FITCHBURG",
"state": "MA",
"postal_code": "01420",
"telephone_number": "978-878-8516",
"fax_number": "978-878-8418"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "326 NICHOLS RD",
"city": "FITCHBURG",
"state": "MA",
"postal_code": "01420",
"telephone_number": "978-878-8100",
"fax_number": "978-878-8326"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "STEVEN",
"middle_name": "A.",
"name_prefix": "Mr.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-01-05",
"last_updated": "2015-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "MA",
"license": "15310",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fitchburg, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.