Individual provider Active NPI

Lauten Johnson, D.M.D.

  • Pediatric Dentistry
  • Hoover, AL
National Provider Identifier
1992970545
Registry record updated Apr 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
5474 Issued in AL
Practice address
1015 Brocks Gap Pkwy
Hoover, AL 35244-4032
Phone
(205) 982-0112
Fax
(205) 982-0737
NPI assigned
Apr 24, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X 5474 AL Primary

Addresses

Primary practice location

1015 Brocks Gap Pkwy
Hoover, AL 35244-4032

Mailing address

1015 Brocks Gap Pkwy
Hoover, AL 35244-4032

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
5474ALMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Clanton Dental Group, LLC Pediatric Dentistry Current Accepting new patients
Pediatric and Adolescent Dentistry, LLC Pediatric Dentistry Past Accepting new patients

Locations

405 2nd Ave N
Clanton, AL 35045
Phone (205) 755-1960

1015 Brocks Gap Pkwy
Hoover, AL 35244
Phone (205) 982-0112

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1208995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713830400000",
    "number": "1992970545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1015 BROCKS GAP PKWY",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352444032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1015 BROCKS GAP PKWY",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352444032",
            "telephone_number": "205-982-0112",
            "fax_number": "205-982-0737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "LAUTEN",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-04-24",
        "last_updated": "2024-04-23",
        "certification_date": "2024-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "AL",
            "license": "5474",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hoover, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2024; 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.