Ernest Nelms Johnson, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

5010 Issued in AZ

Practice address

2933 W Cactus Rd
Phoenix, AZ 85029-2346

Phone

(602) 863-9079

Fax

(602) 863-0541

NPI assigned

Jun 22, 2006

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

Enrolled in AZ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1150934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689897600000",
    "number": "1972549293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2933 W CACTUS RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850292346",
            "telephone_number": "602-863-9079",
            "fax_number": "602-863-0541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2933 W CACTUS RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850292346",
            "telephone_number": "602-863-9079",
            "fax_number": "602-863-0541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "ERNEST",
        "middle_name": "NELMS",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-22",
        "last_updated": "2023-07-21",
        "certification_date": "2023-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "5010",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth A Johnson
• Elizabeth Anne Johnson, BCBA
• Emily Johnson, PHARMD
• Emily Jean-Loy Johnson
• Eric R Johnson
• Frances Taressa Johnson
• Gabrielle Nicole Johnson, NP
• Gail June Johnson, OTR
• Galen Johnson, M.D.
• Huegina Johnson

• General Practice Dentistry in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• General Practice Dentistry in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.