Individual provider Active NPI

Robert Sherman Johnson, D.D.S.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Rancho Mirage, CA
National Provider Identifier
1972670511
Registry record updated May 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
18715 Issued in CA
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

Updated by the provider on May 12, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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 Professional name

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

LicenseStateTypeSpecialty
18715CAMDFamily 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.

Verify at the official NPI Registry.