Erik Robert Johnson, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

30.024918 Issued in OH

Practice address

7260 West Blvd
BLDG. G
Youngstown, OH 44512-7334

Phone

(330) 720-5200

NPI assigned

Sep 20, 2016

Last updated

Sep 20, 2016By 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 OH

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

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

{
    "created_epoch": "1474329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1474329600000",
    "number": "1851849715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7260 WEST BLVD",
            "address_2": "BLDG. G",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445127334",
            "telephone_number": "330-720-5200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7260 WEST BLVD",
            "address_2": "BLDG. G",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445127334",
            "telephone_number": "330-720-5200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "ERIK",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-09-20",
        "last_updated": "2016-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OH",
            "license": "30.024918",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brandan Johnson, N.D., PHD
• Catherine Johnson, OCPC, CDCA
• Dena A Johnson, DPT
• Domonique Michelle Johnson
• Ericka Ramona Johnson
• Ernest Johnson
• Essence Johnson
• Fayola Abeni Johnson
• Felicia Lashawna Johnson
• Garett Jerome Johnson Jr.

• Dentist in Youngstown, OH
• Providers in Youngstown, OH by specialty
• Dentist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2016; 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.