NPIMap

Organization Active NPI

Dr. Samuel L. Johnson, DDS, P.C.

  • General Practice Dentistry
  • Mobile, AL
National Provider Identifier
1992853337
Registry record updated Feb 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
4049 Issued in AL
Legal business name
DR. SAMUEL L. JOHNSON, DDS, P.C.
Practice address
740 Hillcrest Rd Ste 2B
Mobile, AL 36695-4021
Phone
(251) 639-0911
Fax
(251) 633-7889
NPI assigned
Jan 8, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2016

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

Authorized official

Name
Dr. Samuel L. Johnson, DDSNPI 1417006677
Title
Ceo
Phone
(251) 639-0911

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X 4049 AL Primary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X 5453C AL

Addresses

Primary practice location

740 Hillcrest Rd Ste 2B
Mobile, AL 36695-4021

Mailing address

740 Hillcrest Rd Ste 2B
Mobile, AL 36695-4021
Phone (251) 639-0911

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1455667200000",
    "number": "1992853337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "740 HILLCREST RD STE 2B",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366954021",
            "telephone_number": "251-639-0911",
            "fax_number": "251-633-7889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "740 HILLCREST RD STE 2B",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366954021",
            "telephone_number": "251-639-0911",
            "fax_number": "251-633-7889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. SAMUEL L. JOHNSON, DDS, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-08",
        "last_updated": "2016-02-17",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "251-639-0911",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "AL",
            "license": "4049",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "AL",
            "license": "5453C",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mobile, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2016; 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.