Clifton Johnson, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

10260 Issued in GA

Practice address

1223 3Rd Ave
Columbus, GA 31901-2503

Phone

(706) 571-9320

NPI assigned

May 27, 2005

Reactivated

Mar 31, 2006

Last updated

Aug 24, 2016By the provider in NPPES

Sex

Male

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

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

{
    "created_epoch": "1117152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1471996800000",
    "number": "1821091513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1223 3RD AVE",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319012503",
            "telephone_number": "706-571-9320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1223 3RD AVE",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319012503",
            "telephone_number": "706-571-9320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "CLIFTON",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-27",
        "last_updated": "2016-08-24",
        "deactivation_date": "2006-03-31",
        "reactivation_date": "2006-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "10260",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Beatrice Johnson
• Belinda Johnson, LCSW
• Brandilyn Johnson, NP-C
• Charlene Johnson, LPC
• Chelsea Elizabeth Johnson, DDS
• Connie Johnson
• Courtney Johnson
• Courtney Johnson
• Courtney Nicole Johnson, PT
• Danasia Lorianna Johnson

• General Practice Dentistry in Columbus, GA
• Providers in Columbus, GA by specialty
• General Practice Dentistry in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2016; 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.