Dental Sleep Therapy of Macon LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

DENTAL SLEEP THERAPY OF MACON LLC

Practice address

277 Martin Luther King Jr Blvd Ste 103
Macon, GA 31201-3476

Phone

(478) 722-9865

Fax

(866) 494-6123

NPI assigned

Oct 12, 2024

Organization subpart

No

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

Authorized official

Name

Dr. Douglas S Johnson, DMDNPI 1265516538

Title

Managing Member

Phone

(478) 722-9865

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

Practitioners 1

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

• Douglas S Johnson, DMD

  • General Practice Dentistry
  • Macon, GA
  • NPI 1265516538
  NPD Authorized official

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

{
    "created_epoch": "1728691200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778716800000",
    "number": "1932929239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 BROADLEAF DR",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312101921",
            "telephone_number": "478-722-1111",
            "fax_number": "866-494-6123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "277 MARTIN LUTHER KING JR BLVD STE 103",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312013476",
            "telephone_number": "478-722-9865",
            "fax_number": "866-494-6123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL SLEEP THERAPY OF MACON LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-12",
        "last_updated": "2026-05-14",
        "certification_date": "2026-05-14",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "478-722-9865",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Catherine Elyse Dennis
• Lynn Taylor Denny, M.D.
• Marsha Thorn Denny, FNP
• Ashley Dent
• Dental Care Center of Macon, PC
• Dental Wellness Center of Macon, LLC
• Derrick Lane, MD, LLC
• Judith Loudon Derriso, LCSW
• Jaimin Desai, DMD
• Niraj Desai, MD

• General Practice Dentistry in Macon, GA
• Providers in Macon, 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 May 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.