DR. ANTHONY JOHNSON D.D.S.
NPI 1689095911
Student in an Organized Health Care Education/Training Program in Canton, OH

Q: What is Anthony Johnson's NPI number?

The NPI number for Anthony Johnson is 1689095911. It was assigned to this individual provider in the NPPES registry on January 6, 2014.

Q: What is Anthony Johnson's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Anthony Johnson was last updated on January 6, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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 January 06, 2014PECOS Enrolled

1320 MERCY DR NW, CANTON, OH 44708(330) 471-5950 Get Directions Write a Review

NPPES record last updated: January 6, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Anthony Johnson D.d.s. NPPES

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

DR. ANTHONY JOHNSON D.D.S. (NPI 1689095911) is an individual student in an organized health care education/training program in Canton, Ohio, licensed in Ohio (RES.3321) and active in the NPI registry since January 2014. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1689095911

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameDR. ANTHONY JOHNSONCredential: D.D.S.

Location Address1320 MERCY DR NWCanton, OH 44708-2614

Mailing Address1320 Mercy Dr NwCanton, OH 44708-2614 · (330) 471-5950

Phone(330) 471-5950

Sole ProprietorNo

Enumeration DateJanuary 6, 2014

✔ NPI 1689095911 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

License✔ Licensed in OH · RES.3321

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Also ListedDentistTaxonomy 122300000X · License 30.023931 (OH)

1320 MERCY DR NW, Canton, OH 44708

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Delta Dental of Ohio.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Anthony Johnson D.d.s. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

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

AMANDA G GILLIS CRNA

Nurse Anesthetist, Certified Registered