Organization Active NPI

Bernard J. Johnson DDS LLC

  • Oral and Maxillofacial Pathology Dentistry
  • Canton, OH
National Provider Identifier
1932117553
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Pathology DentistryTaxonomy code 1223P0106X
License
13689 Issued in OH
Legal business name
BERNARD J. JOHNSON DDS LLC
Practice address
4368 Dressler Rd NW
Suite 102
Canton, OH 44718-2771
Phone
(330) 493-4242
Fax
(330) 493-1303
NPI assigned
Aug 3, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Bernard Joseph Johnson, D.D.S.NPI 1386625341
Title
President
Phone
(330) 493-4242

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Pathology DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0106X 13689 OH Primary

Addresses

Primary practice location

4368 Dressler Rd NW
Suite 102
Canton, OH 44718-2771

Mailing address

4368 Dressler Rd NW
Suite 102
Canton, OH 44718-2771
Phone (330) 493-4242

National Provider Directory

National Provider Directory

Locations

4368 Dressler Rd NW
Ste 100
Canton, OH 44718
Phone (330) 493-4242

4368 Dressler Rd NW
Ste 102
Canton, OH 44718
Phone (330) 493-4242

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1154563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1932117553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4368 DRESSLER RD NW",
            "address_2": "SUITE 102",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447182771",
            "telephone_number": "330-493-4242",
            "fax_number": "330-493-1303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4368 DRESSLER RD NW",
            "address_2": "SUITE 102",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447182771",
            "telephone_number": "330-493-4242",
            "fax_number": "330-493-1303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BERNARD J. JOHNSON DDS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "BERNARD",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "330-493-4242",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223P0106X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Pathology",
            "state": "OH",
            "license": "13689",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.