DR. HENDERSON ANDREW JOHNSON IV D.D.S
NPI 1104994052
Dentist - General Practice in Cleveland, OH

Q: What is Henderson Johnson's NPI number?

The NPI number for Henderson Johnson is 1104994052. It was assigned to this individual provider in the NPPES registry on November 30, 2006.

Q: What is Henderson Johnson's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Q: When was this NPI record last updated?

The NPPES record for Henderson Johnson was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since November 30, 2006

2475 E 22ND ST, SUITE 204, CLEVELAND, OH 44115(216) 566-7770(216) 566-7704 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Dr. Henderson Andrew Johnson Iv D.d.s NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. HENDERSON ANDREW JOHNSON IV D.D.S (NPI 1104994052) is an individual general practice provider in Cleveland, Ohio, licensed in Ohio (17934) and active in the NPI registry since November 2006.

NPPES Registry Identity

NPI1104994052

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameDR. HENDERSON ANDREW JOHNSON IVCredential: D.D.S

Location Address2475 E 22ND ST, SUITE 204Cleveland, OH 44115-3221

Mailing Address2475 E 22nd St, Suite 204Cleveland, OH 44115-3221 · (216) 566-7770 · Fax (216) 566-7704

Phone(216) 566-7770

Fax(216) 566-7704

Sole ProprietorYes

Enumeration DateNovember 30, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1104994052 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in OH · 17934

Definition

A 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.

2475 E 22ND ST, Cleveland, OH 44115

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Other Identifiers 1

Medicaid0668406OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana and more.Insurance ›

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CENTRAL RX PHARMACY & MEDICAL SUPPLY LLC

Pharmacy

2475 E 22ND ST
CLEVELAND, OH 44115

Cuyahoga County (216) 621-7700

SRINIVAS R MERUGU MD

Internal Medicine

2475 E 22ND ST, SUITE 120
CLEVELAND, OH 44115

Cuyahoga County (216) 431-1500

DR. GIESELE ROBINSON GREENE M.D.

Internal Medicine (Geriatric Medicine)

2475 E 22ND ST
CLEVELAND, OH 44115

Cuyahoga County (216) 472-2730

LOKANATHAN ANAND MD

Internal Medicine

2475 E 22ND ST, #210
CLEVELAND, OH 44115

Cuyahoga County (216) 687-1492

MR. DAVID LEE MILLER RPH

Pharmacist

2475 E 22ND ST
CLEVELAND, OH 44115

Cuyahoga County (216) 621-9073

DR. PARVEZ B KHAMBATTA MD

Internal Medicine (Gastroenterology)

2475 E 22ND ST, SUITE 120
CLEVELAND, OH 44115

Cuyahoga County (216) 431-1500

H A JOHNSON DDS INC

Dentist

2475 E 22ND ST, SUITE 204
CLEVELAND, OH 44115

Cuyahoga County (216) 566-7770

CENTRAL MEDICAL ARTS PHARMACY

Pharmacy

2475 E 22ND ST
CLEVELAND, OH 44115

Cuyahoga County (216) 621-9073

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Henderson Johnson's NPI number?

The NPI number for Henderson Johnson is 1104994052. It was assigned to this individual provider in the NPPES registry on November 30, 2006.

Where is Henderson Johnson located?

Henderson Johnson practices at 2475 E 22nd St Suite 204, Cleveland, OH 44115. The listed phone number is (216) 566-7770.

What is Henderson Johnson's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

What insurance does Henderson Johnson accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 11 other insurers list Henderson Johnson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Henderson Johnson was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.