Organization Active NPI

Philip S Johnson DDS PC

  • General Practice Dentistry
  • Phoenix, AZ
National Provider Identifier
1932313640
Registry record updated Nov 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
PHILIP S JOHNSON DDS PC
Practice address
4025 W Bell Rd
7
Phoenix, AZ 85053-2750
Phone
(602) 862-0967
NPI assigned
May 10, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2012

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

Authorized official

Name
Dr. Philip S JohnsonNPI 1073682100
Title
Owner
Phone
(602) 862-0967

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
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

4025 W Bell Rd
7
Phoenix, AZ 85053-2750

Mailing address

4025 W Bell Rd
7
Phoenix, AZ 85053-2750
Phone (602) 862-0967

National Provider Directory

National Provider Directory

Locations

4025 W Bell Rd
Ste 7
Phoenix, AZ 85053
Phone (602) 862-0967

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": "1178755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1353974400000",
    "number": "1932313640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4025 W BELL RD",
            "address_2": "7",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850532750",
            "telephone_number": "602-862-0967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4025 W BELL RD",
            "address_2": "7",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850532750",
            "telephone_number": "602-862-0967"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHILIP S JOHNSON DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-10",
        "last_updated": "2012-11-27",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "602-862-0967",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2012; 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.