Active NPI
Martha Johnson
- Dental Hygienist
- Daytona Beach, FL
National Provider Identifier
1891314308
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- Practice address
- 1845 Holsonback Dr
Daytona Beach, FL 32117-5114 - Phone
- (386) 624-3262
- NPI assigned
- Apr 14, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | FL | Primary | |
| Dental Hygienist | 124Q00000X |
Addresses
Primary practice location
1845 Holsonback Dr
Daytona Beach, FL 32117-5114
Mailing address
PO Box 9190
Daytona Beach, FL 32120-9190
Phone (386) 247-0896
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| UNKNOWN | Medicaid | FL |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | Martha.Johnson2@flhealth.gov | ||
| Direct Messaging Address | Martha.johnson2@flhealth.gov |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1586822400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1586822400000",
"number": "1891314308",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 9190",
"city": "DAYTONA BEACH",
"state": "FL",
"postal_code": "321209190",
"telephone_number": "386-247-0896"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1845 HOLSONBACK DR",
"city": "DAYTONA BEACH",
"state": "FL",
"postal_code": "321175114",
"telephone_number": "386-624-3262"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "MARTHA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-04-14",
"last_updated": "2020-04-14",
"certification_date": "2020-04-14",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "FL",
"license": null,
"primary": true
},
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "UNKNOWN",
"state": "FL"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "Martha.Johnson2@flhealth.gov",
"affiliation": "N",
"address_1": "1845 Holsonback Dr",
"city": "Daytona Beach",
"state": "FL",
"country_code": "US",
"postal_code": "321175114",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "Martha.johnson2@flhealth.gov",
"affiliation": "N",
"address_1": "1845 Holsonback Dr",
"city": "Daytona Beach",
"state": "FL",
"country_code": "US",
"postal_code": "321175114",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Daytona Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 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.