Crystal Aurice Johnson, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN014113 Issued in GA

Practice address

5780 CH James Parkway
Suite 280
Powder Springs, GA 30127-0000

Phone

(770) 943-2525

NPI assigned

Jul 23, 2010

Sex

Female

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Johnson Family Dentistry

  • General Practice Dentistry
  • Powder Springs, GA
  • NPI 1912291352
  NPD Authorized official

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

{
    "created_epoch": "1279843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1303862400000",
    "number": "1932412673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5780 CH JAMES PARKWAY",
            "address_2": "SUITE 280",
            "city": "POWDER SPRINGS",
            "state": "GA",
            "postal_code": "301270000",
            "telephone_number": "770-943-2525",
            "fax_number": "770-943-2527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5780 CH JAMES PARKWAY",
            "address_2": "SUITE 280",
            "city": "POWDER SPRINGS",
            "state": "GA",
            "postal_code": "301270000",
            "telephone_number": "770-943-2525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "CRYSTAL",
        "middle_name": "AURICE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-07-23",
        "last_updated": "2011-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "DN014113",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Demetria Jennings, LMSW
• Meline Jeudy
• Johnson Family Dentistry
• Johnson Private Home Care Agency LLC
• Camille M Johnson, NP
• Shantea S. Johnson, MS, MPH, CHES, CHC
• Trent McKenzie Johnson
• Jones RX, LLC
• Jonathan J Jones Jr.
• Sabrina Jones

• General Practice Dentistry in Powder Springs, GA
• Providers in Powder Springs, GA by specialty
• General Practice Dentistry in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2011; 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.