Organization Active NPI

Patrick P. Johns, DDS, LLC

  • General Practice Dentistry
  • Evansville, IN
National Provider Identifier
1881823565
Registry record updated Jul 2, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
12007351-A Issued in IN
Legal business name
PATRICK P. JOHNS, DDS, LLC
Practice address
1331 W Boonville New Harmony Rd
Evansville, IN 47725-9583
Phone
(812) 867-6428
Fax
(812) 867-7494
NPI assigned
Jul 2, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2009

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

Authorized official

Name
Patrick Paul Johns, D.D.S.NPI 1821008525
Title
Owner
Phone
(812) 867-6428

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 12007351-A IN Primary

Addresses

Primary practice location

1331 W Boonville New Harmony Rd
Evansville, IN 47725-9583

Mailing address

1331 W Boonville New Harmony Rd
Evansville, IN 47725-9583
Phone (812) 867-6428

Other identifiers 1

IdentifierTypeStateIssuer
PENDINGMedicaidIN

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1246492800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1246492800000",
    "number": "1881823565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1331 W BOONVILLE NEW HARMONY RD",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477259583",
            "telephone_number": "812-867-6428",
            "fax_number": "812-867-7494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1331 W BOONVILLE NEW HARMONY RD",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477259583",
            "telephone_number": "812-867-6428",
            "fax_number": "812-867-7494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATRICK P. JOHNS, DDS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-02",
        "last_updated": "2009-07-02",
        "status": "A",
        "authorized_official_last_name": "JOHNS",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "812-867-6428",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "IN",
            "license": "12007351-A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PENDING",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Evansville, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2009; 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.