Eric Richard Johnson, DDS

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

010677 Issued in MO

Practice address

315 Nichols Rd
Suite 208
Kansas City, MO 64112-1511

Phone

(816) 753-0377

Fax

(816) 753-3048

NPI assigned

Mar 17, 2007

Sex

Male

Sole proprietor

No

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.

• Orthodontics, Inc.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Lee's Summit, MO
  • NPI 1699920470
  NPD (past)
• Scott V. Law, D.M.D. Missouri, LLC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Kansas City, MO
  • NPI 1629567607
  NPD (past)

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

{
    "created_epoch": "1174089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1962526962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 LAKESHORE DR W",
            "city": "LAKE QUIVIRA",
            "state": "KS",
            "postal_code": "662178523",
            "telephone_number": "913-631-8609",
            "fax_number": "913-268-5031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 NICHOLS RD",
            "address_2": "SUITE 208",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641121511",
            "telephone_number": "816-753-0377",
            "fax_number": "816-753-3048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "ERIC",
        "middle_name": "RICHARD",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "MO",
            "license": "010677",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ebony Johnson
• Elisa Faye Johnson, NBC-HWC
• Elizabeth Anne Johnson, PHARMD
• Elizabeth Christine Johnson
• Ellen Rita Johnson, RN
• Gary Johnson Jr.
• Gina Kay Johnson, LPN
• Grant Aaron Johnson, MD
• Hassan Johnson
• Hunter Marlene Johnson

• Orthodontics and Dentofacial Orthopedics Dentistry in Kansas City, MO
• Providers in Kansas City, MO by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.