Maxwell Johnson, D.M.D.

Primary specialty

DentistTaxonomy code 122300000X

License

8922 Issued in AZ

Practice address

10195 N Oracle Rd
Ste. #111
Tucson, AZ 85704-8749

Phone

(520) 219-7004

Fax

(520) 291-9811

NPI assigned

Apr 30, 2014

Last updated

Feb 9, 2015By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Enrolled in AZ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Johnson & Chang Dentistry, PLLC

  dba Oracle Family Dental

  • Dentist
  • Oro Valley, AZ
  • NPI 1184319949
  NPD Authorized official
• Sleep Well Az PLLC

  • Durable Medical Equipment & Medical Supplies
  • Oro Valley, AZ
  • NPI 1093263543
  NPD (past) Authorized official

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

{
    "created_epoch": "1398816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1423440000000",
    "number": "1912317900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10195 N ORACLE RD",
            "address_2": "STE. #111",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857048749",
            "telephone_number": "520-219-7004",
            "fax_number": "520-291-9811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10195 N ORACLE RD",
            "address_2": "STE. #111",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857048749",
            "telephone_number": "520-219-7004",
            "fax_number": "520-291-9811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "MAXWELL",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-04-30",
        "last_updated": "2015-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AZ",
            "license": "8922",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laureen Johnson
• Lindsay McDonald Johnson
• Margie Lee Johnson
• Mark Joseph Johnson, M.D.
• Mary Elizabeth Johnson, PHARMD
• Melissa S Johnson, RRT
• Michelle L Johnson, LPC
• Murego Johnson, BHTH
• Nancy Rae Johnson
• Nathaniel Reagor Johnson, M.D.

• Dentist in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Dentist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.