Paul O. Johnson, DMD PC

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

19187 Issued in MA

Legal business name

PAUL O. JOHNSON, DMD PC

Practice address

486 Washington St
Wellesley, MA 02482-5971

Phone

(781) 237-2151

Fax

(781) 237-2133

NPI assigned

Oct 1, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Paul Oliver Johnson, D.M.D.

Title

President

Phone

(781) 237-2151

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1349049600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349049600000",
    "number": "1841541851",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "486 WASHINGTON ST",
            "city": "WELLESLEY",
            "state": "MA",
            "postal_code": "024825971",
            "telephone_number": "781-237-2151",
            "fax_number": "781-237-2133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "486 WASHINGTON ST",
            "city": "WELLESLEY",
            "state": "MA",
            "postal_code": "024825971",
            "telephone_number": "781-237-2151",
            "fax_number": "781-237-2133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAUL O. JOHNSON, DMD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-01",
        "last_updated": "2012-10-01",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "OLIVER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "781-237-2151",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "MA",
            "license": "19187",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexandra Parkinson, PSY.D.
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• Deidre Patel, MD
• Jennifer Paterson, M.D.
• Paul R Chalifoux, DDS, LLC
• Joseph R Paulauskas, LMHC
• Natalie Penelopy Pauli, MD
• Philip Pause
• Peace Within Nutrition, LLC

• Pediatric Dentistry in Wellesley, MA
• Providers in Wellesley, MA by specialty
• Pediatric Dentistry in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2012; 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.