EDWINA V. JOHNSON, D.D.S., P.C. NPI 1003003831

Dentist (General Practice) in Oklahoma City, OK

About EDWINA V. JOHNSON, D.D.S., P.C.

Edwina V. Johnson, D.d.s., P.c. is a provider in Oklahoma City, OK. The NPI number assigned to this provider is 1003003831. The practitioner's primary taxonomy code is Dentist (1223G0001X). The provider is registered as an organization and their NPI record was last updated 10 years ago. Edwina V. Johnson, D.d.s., P.c. operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The provider's is doing business as Dental Works.

NPI1003003831 Additional informationCallout TooltipNational Provider Indentifier (NPI)
The 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.
Provider NameEDWINA V. JOHNSON, D.D.S., P.C.
Provider Location Address4200 HEMINGWAY DR OKLAHOMA CITY, OK 73118 Additional informationCallout TooltipProvider location address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Mailing Address4200 HEMINGWAY DR OKLAHOMA CITY, OK 73118 Additional informationCallout TooltipProvider mailing address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.
NPI Entity TypeOrganization Additional informationCallout TooltipEntity type code
The code describing the type of health care provider that is being assigned an NPI.
Codes are:
1 = (Person): individual human being who furnishes health care;
2 = (Non-person): entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO).
Is Sole Proprietor?N/A
Is Organization Subpart?No Additional informationCallout TooltipWhat is a subpart?
Subparts are the components and separate physical locations of organization health care providers. Examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.
Other Organization NameDENTAL WORKS Additional informationCallout TooltipProvider other organization name
The alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. Codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.
Other Name TypeDoing Business As (3)
Enumeration Date09-25-2007 Additional informationCallout TooltipProvider enumeration date
The date the provider was assigned a unique identifier (assigned an NPI)
Last Update Date06-18-2008 Additional informationCallout TooltipLast update date
The date that a record was last updated or changed.

Business Address

EDWINA V. JOHNSON, D.D.S., P.C.
4200 HEMINGWAY DR
OKLAHOMA CITY, OK
ZIP 73118
Phone: (405) 557-1245
Get Directions

Mailing Address

EDWINA V. JOHNSON, D.D.S., P.C.
4200 HEMINGWAY DR
OKLAHOMA CITY, OK
ZIP 73118
Phone: (405) 557-1245

Primary Taxonomy

Taxonomy Code1223G0001X Additional informationCallout TooltipPrimary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
ClassificationDentist
TypeDental Providers
SpecializationGeneral Practice
License No.S 4606
License StateOK
Taxonomy DescriptionA general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Authorized Official

Authorized Official NameMS. EDWINA VIRGINIA JOHNSON D.D.S. Additional informationCallout TooltipAuthorized official name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.
Authorized Official TitleDENTIST
Authorized Official Phone(405) 557-1245

193400000X SINGLE SPECIALTY GROUP - This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
=========OTHER (01)OK
731231901001OTHER (01)OK
1316049141OTHER (01)OK

Map Location


EDWINA V. JOHNSON, D.D.S., P.C. address is 4200 HEMINGWAY DR OKLAHOMA CITY, OK 73118

Other Providers at the same location


The following provider is registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1316049141DR. EDWINA VIRGINIA JOHNSON DDS
Individual
Dentist (General Practice)4200 HEMINGWAY DR
OKLAHOMA CITY, OK 73118
(405) 557-1245