Robert G Johnson, SA-C

Primary specialty

Surgical AssistantTaxonomy code 246ZC0007X

License

18-135

Practice address

3 Executive Park Dr
Bedford, NH 03110-6918

Phone

(603) 587-4103

NPI assigned

Dec 17, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1608163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608163200000",
    "number": "1891381448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 EXECUTIVE PARK DR",
            "city": "BEDFORD",
            "state": "NH",
            "postal_code": "031106918",
            "telephone_number": "603-587-4103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 EXECUTIVE PARK DR",
            "city": "BEDFORD",
            "state": "NH",
            "postal_code": "031106918",
            "telephone_number": "603-587-4103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "ROBERT",
        "middle_name": "G",
        "name_prefix": "Mr.",
        "credential": "SA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-12-17",
        "last_updated": "2020-12-17",
        "certification_date": "2020-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246ZC0007X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": null,
            "license": "18-135",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ABSA",
            "identifier": "18-135",
            "state": "NH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Http://www.sanhllc.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3 Executive Park Dr",
            "city": "Bedford",
            "state": "NH",
            "country_code": "US",
            "postal_code": "031106918",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Laura Thomsen Jimenez
• Jo-Anne Johnson DMD Family Dentistry
• Corey Johnson, MD
• Jeanne M Johnson, M.D.
• Jo-Anne Johnson, DMD
• Sharon Elizabeth Johnson, D.M.D.
• Dominique M Jones
• Joppa Meadows Counseling Associates LLC
• Julie Jordan, PA
• Kathryn Jorgensen, DMD

• Surgical Assistant in Bedford, NH
• Providers in Bedford, NH by specialty
• Surgical Assistant in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 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.