Jenna Nicole Johnson, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

28113 Issued in FL

Practice address

3201 Del Prado Blvd S Ste 120
Cape Coral, FL 33904-7206

Phone

(239) 542-5335

NPI assigned

Jun 13, 2023

Sex

Female

Sole proprietor

No

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

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

{
    "created_epoch": "1686614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746489600000",
    "number": "1841974524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3201 DEL PRADO BLVD S STE 120",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339047206",
            "telephone_number": "239-542-5335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3201 DEL PRADO BLVD S STE 120",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339047206",
            "telephone_number": "239-542-5335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "JENNA",
        "middle_name": "NICOLE",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-13",
        "last_updated": "2025-05-06",
        "certification_date": "2025-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "28113",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Camille John, MSW
• Johner Therapy Inc (Physical Therapy Now Cape Coral)
• Berniece Johnson, MD
• Brooke Faron Bentley Johnson
• Courtney Johnson
• Jonathan Andrew Johnson, DC
• Kelly Johnson, MD
• Kristine Kay Johnson, DC
• Lana L Johnson, ITDS
• Larry Dean Johnson, DC

• Dentist in Cape Coral, FL
• Providers in Cape Coral, FL by specialty
• Dentist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2025; 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.