Kerry K Johnson

Primary specialty

DentistTaxonomy code 122300000X

License

18293 Issued in TX

Practice address

8649 Barker Cypress Rd Unit a
Cypress, TX 77433-5337

Phone

(832) 683-4354

Fax

(832) 683-4385

NPI assigned

Jun 5, 2008

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Kerry K Johnson DDS PA

  • Dentist
  • Cypress, TX
  • NPI 1447390240
  NPD (past) Authorized official

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

{
    "created_epoch": "1212624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548720000000",
    "number": "1902065899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8649 BARKER CYPRESS RD UNIT A",
            "city": "CYPRESS",
            "state": "TX",
            "postal_code": "774335337",
            "telephone_number": "832-683-4354",
            "fax_number": "832-683-4385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8649 BARKER CYPRESS RD UNIT A",
            "city": "CYPRESS",
            "state": "TX",
            "postal_code": "774335337",
            "telephone_number": "832-683-4354",
            "fax_number": "832-683-4385"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "18046 FM 529",
            "address_purpose": "LOCATION",
            "city": "Cypress",
            "state": "TX",
            "postal_code": "774331168",
            "country_code": "US",
            "telephone_number": "832-593-0700",
            "fax_number": "832-593-0600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "KERRY",
        "middle_name": "K",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-05",
        "last_updated": "2019-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "18293",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erika Johnson, LMT
• Faith Johnson
• Felicia Dawn Johnson
• Hannah Marie Johnson, AUD
• Karen E Johnson, RN, MPH, ND
• Lindy M Johnson, D.C.
• Loretta F Johnson, PTA
• Roddric Johnson, LPC
• Shalonda Renee' Johnson, CPT, CPI
• Shelby Johnson

• Dentist in Cypress, TX
• Providers in Cypress, TX by specialty
• Dentist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2019; 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.