Jenna A Johnson, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

4559 Issued in NH

Practice address

22 Bunker Hill St
Lancaster, NH 03584-3009

Phone

(603) 788-2517

Fax

(603) 788-2520

NPI assigned

Jun 18, 2020

Last updated

Jun 18, 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 1

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.

• Lancaster Dental Care, PC

  • General Practice Dentistry
  • Lancaster, NH
  • NPI 1588669881
  NPD (past)

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

{
    "created_epoch": "1592438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592438400000",
    "number": "1861018533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7",
            "city": "LANCASTER",
            "state": "NH",
            "postal_code": "035840007",
            "telephone_number": "603-788-2517",
            "fax_number": "603-788-2520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 BUNKER HILL ST",
            "city": "LANCASTER",
            "state": "NH",
            "postal_code": "035843009",
            "telephone_number": "603-788-2517",
            "fax_number": "603-788-2520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "JENNA",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-18",
        "last_updated": "2020-06-18",
        "certification_date": "2020-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NH",
            "license": "4559",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stacey Hicks, PT
• Hometown Eye Care of Lancaster
• Jackson Psychological Services, LLC
• Trina Bothe Jackson, PSY.D.
• Jeffrey J Johnson, M.D.
• Jeanine Lynn Joiner-Libby, M.A., LCMHC
• Paul Kamins, M.D.
• Joseph Thomas Keenan, PH.D.
• Martha Keller Mekeel
• Joseph Robert Kiernan, MD

• Dentist in Lancaster, NH
• Providers in Lancaster, NH by specialty
• Dentist in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 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.