Organization Active NPI

Robert a. Johnson DDS

  • Dental Clinic/Center
  • Tappahannock, VA
National Provider Identifier
1992833388
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
0401004109 Issued in VA
Legal business name
ROBERT A. JOHNSON DDS
Practice address
139 Prince Street
Tappahannock, VA 22560-0115
Phone
(804) 443-4484
Fax
(804) 443-9002
NPI assigned
Feb 28, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Robert A. Johnson, DDS
Title
Owner
Phone
(804) 443-4484

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 0401004109 VA Primary

Addresses

Primary practice location

139 Prince Street
Tappahannock, VA 22560-0115

Mailing address

PO Box 115
139 Prince Street
Tappahannock, VA 22560-0115
Phone (804) 443-4484

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1172620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1992833388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 115",
            "address_2": "139 PRINCE STREET",
            "city": "TAPPAHANNOCK",
            "state": "VA",
            "postal_code": "225600115",
            "telephone_number": "804-443-4484",
            "fax_number": "804-443-9002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "139 PRINCE STREET",
            "city": "TAPPAHANNOCK",
            "state": "VA",
            "postal_code": "225600115",
            "telephone_number": "804-443-4484",
            "fax_number": "804-443-9002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT A. JOHNSON DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "804-443-4484",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "VA",
            "license": "0401004109",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tappahannock, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.