Barry Johnsin, D.D.S.

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

D25725 Issued in CA

Practice address

1706 S Elena Ave
Redondo Beach, CA 90277-5715

Phone

(310) 375-0514

Fax

(310) 375-8625

NPI assigned

Jul 20, 2006

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• Trent Westernoff DMD MD Inc & Martin Mardirosian DDS MD Apc General PA

  dba Oral Surgery Partners

  • Oral and Maxillofacial Surgery (Dentist)
  • Redondo Beach, CA
  • NPI 1376205047
  NPD (past)
• Westernoff DMD MD & Mardirosian DDS MD GP-W

  • Oral and Maxillofacial Surgery (Dentist)
  • Los Angeles, CA
  • NPI 1710556550
  NPD (past)

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

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1841210036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1706 S ELENA AVE STE A",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "902775715",
            "telephone_number": "310-375-0514",
            "fax_number": "310-375-8625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1706 S ELENA AVE",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "902775715",
            "telephone_number": "310-375-0514",
            "fax_number": "310-375-8625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSIN",
        "first_name": "BARRY",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-20",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "CA",
            "license": "D25725",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Danielle Jimenez
• Nicholas Steven Jimenez
• Leia Joaquin
• John F Gebhard MD a Professional Corporation
• Kevin Johnsen
• Jeffrey Johnson, PHARMD
• Jeshana Johnson
• John Neal Johnson, MD
• Judith Ann Johnson, N.P.
• Nellie Preble Johnson, RN

• Oral and Maxillofacial Surgery (Dentist) in Redondo Beach, CA
• Providers in Redondo Beach, CA by specialty
• Oral and Maxillofacial Surgery (Dentist) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.