Tessa Johnson, DDS

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

TESSA JOHNSON, DDS

Practice address

1891 Maine St
Ste. 1
Quincy, IL 62301-4272

Phone

(217) 223-7051

Fax

(217) 223-7429

NPI assigned

Jun 11, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Tessa Jean Johnson, DDS

Title

Owner/Dentist

Phone

(217) 223-7051

Specialties & licenses 1

Addresses

Other names 1

• Quincy Family Dental Care Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Andrew T McEntee, DMD

  • Dentist
  • Quincy, IL
  • NPI 1336469535
  NPD (past)

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

{
    "created_epoch": "1276214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1276214400000",
    "number": "1821318908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1891 MAINE ST",
            "address_2": "STE. 1",
            "city": "QUINCY",
            "state": "IL",
            "postal_code": "623014272",
            "telephone_number": "217-223-7051",
            "fax_number": "217-223-7429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1891 MAINE ST",
            "address_2": "STE. 1",
            "city": "QUINCY",
            "state": "IL",
            "postal_code": "623014272",
            "telephone_number": "217-223-7051",
            "fax_number": "217-223-7429"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TESSA JOHNSON, DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-11",
        "last_updated": "2010-06-11",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "TESSA",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "217-223-7051",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Quincy Family Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ruth Charity Taylor, CRNA
• Luc Tchapnda, MD
• Ryan Teheng, CRNA
• Christina Marie Terstriep, D.M.D.
• Elizabeth Terwelp, PA-C
• The Ghalambor Institute LLC
• Therapy Redefined by Shelly Flachs
• Seth Cameron Thibodeau, D.O.
• Margaret Isabel Thirston, M.D.
• Jaclyn Marie Thobaben, PA-C

• Dentist in Quincy, IL
• Providers in Quincy, IL by specialty
• Dentist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 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.