DJR2 Professional Limited Liability Company

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

Legal business name

DJR2 PROFESSIONAL LIMITED LIABILITY COMPANY

Doing business as

Danville Pediatric Dentistry Downtown

Practice address

303 S 4TH St Ste 201
Danville, KY 40422-2091

Phone

(859) 236-8448

NPI assigned

Jan 9, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Jeffrey Todd Johnson, DMD, MPH

Title

Manager

Phone

(859) 327-4711

Specialties & licenses 1

Addresses

Other names 1

• Danville Pediatric Dentistry Downtown Doing business as

Locations

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

{
    "created_epoch": "1515456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1515456000000",
    "number": "1831606094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2505 LARKIN RD STE 201",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405033256",
            "telephone_number": "859-396-3347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 S 4TH ST STE 201",
            "city": "DANVILLE",
            "state": "KY",
            "postal_code": "404222091",
            "telephone_number": "859-236-8448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DJR2 PROFESSIONAL LIMITED LIABILITY COMPANY",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-09",
        "last_updated": "2018-01-09",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "TODD",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "859-327-4711",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD, MPH"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Danville Pediatric Dentistry Downtown",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Dialysis Clinic Inc
• Dialysis Clinic Inc.
• Dialysis Clinic Inc.
• Jeremy T Dickinson, M.D.
• Anna Marie Greene Diggs, M.A., CCC-SLP
• Denise Marie Dobbins Kowalik, OD
• Julie Marie Donahue
• McKenzie Dale Dossett, HIS
• Jonathan Michael Doty, M.D.
• Amanda Dowell, RPH

• Pediatric Dentistry in Danville, KY
• Providers in Danville, KY by specialty
• Pediatric Dentistry in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2018; 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.