George David Johnson Jr., DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

4794 Issued in AL

Practice address

2302 Center Point Pkwy
Center Point, AL 35215-3608

Phone

(205) 853-9170

Fax

(205) 271-6856

NPI assigned

Aug 31, 2006

Last updated

Nov 29, 2010By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

• Vital Smiles Alabama PC

  • Health Maintenance Organization
  • Mobile, AL
  • NPI 1134421746
  Authorized official Same address or phone
• Vital Smiles Alabama, P. C.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Birmingham, AL
  • NPI 1700178654
  Authorized official Same address or phone

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1290988800000",
    "number": "1912018029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 CRESTWOOD BLVD",
            "address_2": "STE 211",
            "city": "IRONDALE",
            "state": "AL",
            "postal_code": "352102034",
            "telephone_number": "205-271-6851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2302 CENTER POINT PKWY",
            "city": "CENTER POINT",
            "state": "AL",
            "postal_code": "352153608",
            "telephone_number": "205-853-9170",
            "fax_number": "205-271-6856"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "GEORGE",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2010-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "DN013305",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AL",
            "license": "4794",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009976855",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "199219578A",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009933952",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009927145",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jeffrey Jackson, MD
• Twana Jackson
• Angelica Denise Jefferson
• Jmedical
• Erik Paul Johansen
• Isaac Alexander Johnson
• Nakeita Johnson
• Shanta Marie Johnson, CCMA
• Tangie Nicole Johnson, CNA, OWNER, OPERATOR
• Adam Johnston, MD

• General Practice Dentistry in Center Point, AL
• Providers in Center Point, AL by specialty
• General Practice Dentistry in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2010; 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.