Beverly a Johnson DDS MPH Inc

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

28126 Issued in CA

Legal business name

BEVERLY A JOHNSON DDS MPH INC

Practice address

4151 Don Luis Dr
Los Angeles, CA 90008-4214

Phone

(310) 702-5475

Fax

(310) 702-5475

NPI assigned

Jun 7, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Beverly Johnson, DDSNPI 1932373628

Title

President

Phone

(310) 702-5475

Specialties & licenses 1

Addresses

Practitioners 1

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

• Beverly Ann Johnson, D.D.S.

  • Dentist
  • Los Angeles, CA
  • NPI 1932373628
  NPD (past) Authorized official

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

{
    "created_epoch": "1181174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1307059200000",
    "number": "1962605915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4151 DON LUIS DR",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900084214",
            "telephone_number": "310-702-5475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4151 DON LUIS DR",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900084214",
            "telephone_number": "310-702-5475",
            "fax_number": "310-702-5475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEVERLY A JOHNSON DDS MPH INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-07",
        "last_updated": "2011-06-03",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "BEVERLY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-702-5475",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CA",
            "license": "28126",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brian Betz, PH.D.
• John E. Beumer III, DDS,MS
• Shayna Beumer, CNM
• Ashley Monique Bevans
• Geoffrey Michael Bevere
• Beverly Acupuncture and Herb
• Beverly Adult Day Health Care Center, Inc. (Beverly Adult Day Health Care Center)
• Beverly Advanced Medical Group Inc
• Beverly Atlantic Medical Center Inc
• Beverly Cardiology Group

• Dental Clinic/Center in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Dental Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 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.