Eric Scott Johnson, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

23846 Issued in TX

Practice address

647 Camino de Los Mares Ste 209
San Clemente, CA 92673-2807

Phone

(949) 493-9311

NPI assigned

May 28, 2008

Last updated

Apr 30, 2010By the provider in NPPES

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

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

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.

• Jon Marashi, DDS, PC

  • General Practice Dentistry
  • San Clemente, CA
  • NPI 1639382427
  NPD (past)

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

{
    "created_epoch": "1211932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1272585600000",
    "number": "1851559843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "647 CAMINO DE LOS MARES STE 209",
            "city": "SAN CLEMENTE",
            "state": "CA",
            "postal_code": "926732807",
            "telephone_number": "949-493-9311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "647 CAMINO DE LOS MARES STE 209",
            "city": "SAN CLEMENTE",
            "state": "CA",
            "postal_code": "926732807",
            "telephone_number": "949-493-9311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "ERIC",
        "middle_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-05-28",
        "last_updated": "2010-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "23846",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jungyeon Jin, RPH
• John Di Saia MD., Inc.
• John R Gorny MD Inc
• John Vogt Chiropractic Inc.
• Johnson & Rollolazo, a Professional Corporation (Talega Coast Dentistry)
• Evelyn M Johnson, DO
• James Robert Johnson, M.D.
• Martin Arthur Johnson, M.D.
• Raymon Tyler Johnson, D.C.
• Dale R. Johnstone, D.D.S.

• Dentist in San Clemente, CA
• Providers in San Clemente, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.