Active NPI
Robert a. Johnson DDS
- Dental Clinic/Center
- Tappahannock, VA
National Provider Identifier
1992833388
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- License
- 0401004109
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryNPI 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.