DR. GRADY EARL JOHNSON JR. DMD
NPI 1861508715
Dentist - General Practice in Jacksonville, FL

Q: What is Grady Johnson's NPI number?

The NPI number for Grady Johnson is 1861508715. It was assigned to this individual provider in the NPPES registry on August 22, 2006.

Q: What is Grady 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 Grady Johnson was last updated on March 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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 August 22, 2006

4273 POINT LA VISTA RD S, JACKSONVILLE, FL 32207(904) 398-0404(904) 398-0404 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. Grady Earl Johnson Jr. Dmd NPPES

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

DR. GRADY EARL JOHNSON JR. DMD (NPI 1861508715) is an individual general practice provider in Jacksonville, Florida, licensed in Florida (DN 7137) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1861508715

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameDR. GRADY EARL JOHNSON JR.Credential: DMD

Location Address4273 POINT LA VISTA RD SJacksonville, FL 32207-6243

Mailing Address4273 Point La Vista Rd SJacksonville, FL 32207-6243 · (904) 398-0404 · Fax (904) 398-0404

Phone(904) 398-0404

Fax(904) 398-0404

Sole ProprietorYes

Enumeration DateAugust 22, 2006

Last NPPES UpdateMarch 7, 2023

✔ NPI 1861508715 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in FL · DN 7137

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.

4273 POINT LA VISTA RD S, Jacksonville, FL 32207

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Other Identifiers 1

Medicaid074459000FL

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 Grady Johnson's NPI number?

The NPI number for Grady Johnson is 1861508715. It was assigned to this individual provider in the NPPES registry on August 22, 2006.

Where is Grady Johnson located?

Grady Johnson practices at 4273 Point La Vista Rd S, Jacksonville, FL 32207. The listed phone number is (904) 398-0404.

What is Grady Johnson's specialty?

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

When was this NPI record last updated?

The NPPES record for Grady Johnson was last updated on March 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.