Johnson & Snow Dental, PA

Primary specialty

DentistTaxonomy code 122300000X

License

D1559 Issued in ID

Legal business name

JOHNSON & SNOW DENTAL, PA

Practice address

1606 E Center St
Pocatello, ID 83201-4007

Phone

(208) 232-5294

Fax

(208) 233-5188

NPI assigned

Apr 17, 2007

Organization subpart

No

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

Authorized official

Name

Brent R Johnson, DDS

Title

Owner

Phone

(208) 232-5294

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jonathan Ray Elmer, DDS

  • Dentist
  • Bountiful, UT
  • NPI 1730192980
  NPD (past)

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

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1881810281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1606 E CENTER ST",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832014007",
            "telephone_number": "208-232-5294",
            "fax_number": "208-233-5188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1606 E CENTER ST",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832014007",
            "telephone_number": "208-232-5294",
            "fax_number": "208-233-5188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHNSON & SNOW DENTAL, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "BRENT",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-232-5294",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "ID",
            "license": "D1559",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Arpun Kaur Johal, DDS
• Nikki K Johansen
• Gary R Johanson, CRNA
• John Fornarotto PLLC
• John L Christensen PHD PC
• Johnson Family Chiropractic & Sports Clinic PLLC
• Alyssa Lenae Johnson
• Brandon Johnson, PTA
• Eric D Johnson, DDS MS
• Gary L Johnson II, DC

• Dentist in Pocatello, ID
• Providers in Pocatello, ID by specialty
• Dentist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.