Individual provider Active NPI

Eric Andrew Johnson, DDS

  • General Practice Dentistry
  • Alpharetta, GA
National Provider Identifier
1932295540
Registry record updated Mar 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
012478 Issued in GA
Practice address
3990 Old Milton Pkwy
Suite #1
Alpharetta, GA 30005-4435
Phone
(770) 663-3436
Fax
(770) 777-2328
NPI assigned
Oct 4, 2006
Last updated
Mar 17, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 012478 GA Primary

Addresses

Primary practice location

3990 Old Milton Pkwy
Suite #1
Alpharetta, GA 30005-4435

Mailing address

3990 Old Milton Pkwy
Suite #1
Alpharetta, GA 30005-4435
Phone (770) 663-3436

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
012478GAMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395014400000",
    "number": "1932295540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3990 OLD MILTON PKWY",
            "address_2": "SUITE #1",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300054435",
            "telephone_number": "770-663-3436",
            "fax_number": "770-777-2328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3990 OLD MILTON PKWY",
            "address_2": "SUITE #1",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300054435",
            "telephone_number": "770-663-3436",
            "fax_number": "770-777-2328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "ERIC",
        "middle_name": "ANDREW",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-04",
        "last_updated": "2014-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "012478",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alpharetta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2014; 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.