Johnson Family Dentistry

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN014113 Issued in GA

Legal business name

JOHNSON FAMILY DENTISTRY

Practice address

5780 CH James Parkway
Suite 280
Powder Springs, GA 30127-0000

Phone

(770) 943-2525

Fax

(770) 943-2527

NPI assigned

Jun 2, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Crystal A Johnson, DDSNPI 1932412673

Title

Owner

Phone

(770) 943-2525

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Crystal Aurice Johnson, DDS

  • General Practice Dentistry
  • Powder Springs, GA
  • NPI 1932412673
  NPD Authorized official

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

{
    "created_epoch": "1306972800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725840000000",
    "number": "1912291352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5780 CH JAMES PARKWAY",
            "address_2": "SUITE 280",
            "city": "POWDER SPRINGS",
            "state": "GA",
            "postal_code": "301270000",
            "telephone_number": "770-943-2525",
            "fax_number": "770-943-2527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5780 CH JAMES PARKWAY",
            "address_2": "SUITE 280",
            "city": "POWDER SPRINGS",
            "state": "GA",
            "postal_code": "301270000",
            "telephone_number": "770-943-2525",
            "fax_number": "770-943-2527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHNSON FAMILY DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-02",
        "last_updated": "2024-09-09",
        "certification_date": "2024-09-03",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "CRYSTAL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-943-2525",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "DN014113",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert John Jacobs, LPC
• Cynthia Ann Jaworski, A.T.,C
• Evens Jean-Louis
• Demetria Jennings, LMSW
• Meline Jeudy
• Johnson Private Home Care Agency LLC
• Camille M Johnson, NP
• Crystal Aurice Johnson, DDS
• Shantea S. Johnson, MS, MPH, CHES, CHC
• Trent McKenzie Johnson

• General Practice Dentistry in Powder Springs, GA
• Providers in Powder Springs, GA by specialty
• General Practice Dentistry in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2024; 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.