Individual provider Active NPI

Patrick P Johns, DDS

  • Dentist
  • Evansville, IN
National Provider Identifier
1821008525
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
12007351A Issued in IN
Practice address
1331 W Boonville New Harmony Road
Evansville, IN 47725-9583
Phone
(812) 867-6428
Fax
(812) 867-7494
NPI assigned
Aug 8, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 12007351A IN Primary

Addresses

Primary practice location

1331 W Boonville New Harmony Road
Evansville, IN 47725-9583

Mailing address

1331 W Boonville New Harmony Road
Evansville, IN 47725-9583
Phone (812) 867-6428

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150504002374 IN Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 2264751700

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Jason M. Kuester DDS, LLC Past Accepting new patients
Patrick P. Johns, DDS, LLC Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1154995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1821008525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1331 W BOONVILLE NEW HARMONY ROAD",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477259583",
            "telephone_number": "812-867-6428",
            "fax_number": "812-867-7494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1331 W BOONVILLE NEW HARMONY ROAD",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477259583",
            "telephone_number": "812-867-6428",
            "fax_number": "812-867-7494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNS",
        "first_name": "PATRICK",
        "middle_name": "P",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IN",
            "license": "12007351A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Evansville, IN

Sources for this page

Verify at the official NPI Registry.