David Lynn Johnson, D.D.S

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

7967464-9921 Issued in UT

Practice address

3564 S 7200 W Ste B
Magna, UT 84044-3507

Phone

(801) 250-1717

Fax

(801) 250-6098

NPI assigned

Jul 7, 2011

Last updated

Jul 7, 2011By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Enrolled in UT

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

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Magna Dental Clinic

  • General Practice Dentistry
  • Magna, UT
  • NPI 1790077915
  NPD (past)

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

{
    "created_epoch": "1309996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1309996800000",
    "number": "1821385097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3564 S 7200 W STE B",
            "city": "MAGNA",
            "state": "UT",
            "postal_code": "840443507",
            "telephone_number": "801-250-1717",
            "fax_number": "801-250-6098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3564 S 7200 W STE B",
            "city": "MAGNA",
            "state": "UT",
            "postal_code": "840443507",
            "telephone_number": "801-250-1717",
            "fax_number": "801-250-6098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "DAVID",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-07-07",
        "last_updated": "2011-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "UT",
            "license": "7967464-9921",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Jensen
• Tate Alan Jensen, PAC
• Tanesha Johns
• Bradley L Johnson, DMD
• Cheryl Johnson
• Lynn S Johnson, D.D.S.
• Romee Johnson, NP
• Cindy Jones, CSUDC
• Judson Family Chiropractic LLC
• Brett Michael Judson, DC

• General Practice Dentistry in Magna, UT
• Providers in Magna, UT by specialty
• General Practice Dentistry in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.