Johnson Dental Associates, PLLS

Primary specialty

DentistTaxonomy code 122300000X

License

9200 Issued in KY

Legal business name

JOHNSON DENTAL ASSOCIATES, PLLS

Practice address

199 W Main St
Scottsville, KY 42164-1120

Phone

(270) 237-3655

NPI assigned

Jun 25, 2013

Last updated

Jun 25, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Samantha Jo Marcum, DMD

Title

Owner

Phone

(270) 237-3655

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• James Mark Huntsman, D.M.D.

  • Dentist
  • Scottsville, KY
  • NPI 1083763734
  NPD (past)
• Brett Allen

  • Dentist
  • New Albany, IN
  • NPI 1720503519
  NPD (past)

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

{
    "created_epoch": "1372118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1372118400000",
    "number": "1912347808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "199 W MAIN ST",
            "city": "SCOTTSVILLE",
            "state": "KY",
            "postal_code": "421641120",
            "telephone_number": "270-237-3655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "199 W MAIN ST",
            "city": "SCOTTSVILLE",
            "state": "KY",
            "postal_code": "421641120",
            "telephone_number": "270-237-3655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHNSON DENTAL ASSOCIATES, PLLS",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-25",
        "last_updated": "2013-06-25",
        "status": "A",
        "authorized_official_last_name": "MARCUM",
        "authorized_official_first_name": "SAMANTHA",
        "authorized_official_middle_name": "JO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "270-237-3655",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "KY",
            "license": "9200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dianna Hunt, LPCC
• James Mark Huntsman, D.M.D.
• J. Mark Huntsman DMD PSC
• Emily Tabor Jessie, APRN
• John M Hall, M.D. PSC
• Tamara Johnson Kraft
• Shelley Elizabeth Jones, CSFA
• Elizabeth Ann Keown, R.PH.
• Phallin Jade Key
• Scott Kirschner

• Dentist in Scottsville, KY
• Providers in Scottsville, KY by specialty
• Dentist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2013; 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.