Active NPI
Robert Sherman Johnson, D.D.S.
- Orthodontics and Dentofacial Orthopedics Dentistry
- Rancho Mirage, CA
National Provider Identifier
1972670511
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- 18715
- Practice address
- 46 Dartmouth Dr
Rancho Mirage, CA 92270-3162 - Phone
- (760) 770-1048
- Fax
- (760) 324-3848
- NPI assigned
- Nov 29, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 18715 | CA | Primary |
Addresses
Primary practice location
46 Dartmouth Dr
Rancho Mirage, CA 92270-3162
Mailing address
46 Dartmouth Dr
Rancho Mirage, CA 92270-3162
Phone (760) 770-1048
Other names 1
- Dr. Robert Sherman Johnson
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18715 | CA | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164758400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1210550400000",
"number": "1972670511",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "46 DARTMOUTH DR",
"city": "RANCHO MIRAGE",
"state": "CA",
"postal_code": "922703162",
"telephone_number": "760-770-1048",
"fax_number": "760-324-3848"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "46 DARTMOUTH DR",
"city": "RANCHO MIRAGE",
"state": "CA",
"postal_code": "922703162",
"telephone_number": "760-770-1048",
"fax_number": "760-324-3848"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "ROBERT",
"middle_name": "SHERMAN",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-29",
"last_updated": "2008-05-12",
"status": "A"
},
"taxonomies": [
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "CA",
"license": "18715",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ROBERT",
"last_name": "JOHNSON",
"middle_name": "SHERMAN",
"prefix": "DR.",
"credential": "D.D.S.,M.S.",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Rancho Mirage, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.