Amanda Johnson, DDS, PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

AMANDA JOHNSON, DDS, PC

Doing business as

Badlands Dental PC

Practice address

389 15TH St W
Dickinson, ND 58601-3017

Phone

(701) 483-1385

Fax

(701) 483-1388

NPI assigned

Mar 14, 2011

Last updated

Mar 14, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Amanda Angel Johnson, DDSNPI 1295930279

Title

President

Phone

(701) 483-1385

Specialties & licenses 1

Addresses

Other names 1

• Badlands Dental PC Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Amanda Angel Johnson, DDS

  • Dentist
  • Dickinson, ND
  • NPI 1295930279
  NPD (past) Authorized official
• Sharon Ruth Carver, DMD

  • Dentist
  • Dickinson, ND
  • NPI 1972605087
  NPD (past)

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

{
    "created_epoch": "1300060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1300060800000",
    "number": "1891093985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "389 15TH ST W",
            "city": "DICKINSON",
            "state": "ND",
            "postal_code": "586013017",
            "telephone_number": "701-483-1385",
            "fax_number": "701-483-1388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "389 15TH ST W",
            "city": "DICKINSON",
            "state": "ND",
            "postal_code": "586013017",
            "telephone_number": "701-483-1385",
            "fax_number": "701-483-1388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMANDA JOHNSON, DDS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-14",
        "last_updated": "2011-03-14",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_middle_name": "ANGEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "701-483-1385",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Badlands Dental PC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ak E-Cab
• Isaac Akinola, PHARMD
• Julie Alexander
• Erica Alfaro
• Kayla Allmendinger, OT
• Aylin Amaya
• Jaydon Avery Ambrecht
• Janet Nimo Ameyaw I, N/A
• Nichole M Amundson
• Camryn Anders

• General Practice Dentistry in Dickinson, ND
• Providers in Dickinson, ND by specialty
• General Practice Dentistry in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2011; 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.