Damilola Johnson, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

33495 Issued in TX

Practice address

190 E Stacy Rd Ste 314
Allen, TX 75002-8738

Phone

(972) 678-1277

NPI assigned

Jun 24, 2016

Last updated

Sep 24, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

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.

• Okc Dental Health Associates, P.C.

  dba MyDentist-Ada

  • General Practice Dentistry
  • Ada, OK
  • NPI 1942620893
  NPD (past)

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

{
    "created_epoch": "1466726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600905600000",
    "number": "1841641453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "190 E STACY RD STE 314",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750028738",
            "telephone_number": "972-678-1277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "190 E STACY RD STE 314",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750028738",
            "telephone_number": "972-678-1277"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1430 Lonnie Abbott Blvd",
            "address_purpose": "LOCATION",
            "city": "Ada",
            "state": "OK",
            "postal_code": "748201851",
            "country_code": "US",
            "telephone_number": "580-279-1716",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "DAMILOLA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-24",
        "last_updated": "2020-09-24",
        "certification_date": "2020-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OK",
            "license": "6839",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "33495",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shari John
• Johnson Athletic Advantage
• Alec Johnson
• Andrea Michelle Johnson, M.ED., LPC
• Cody Johnson, PT
• Dorian Sherrod Johnson, OTA
• Emery Johnson, R.PH.
• Erin Johnson, L.M.T.
• Jonathan Todd Johnson, M.D.
• Judy Alice Johnson, OTD, OTR

• Dentist in Allen, TX
• Providers in Allen, TX by specialty
• Dentist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2020; 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.