DR. GRADY EARL JOHNSON JR. DMD
NPI 1861508715
Dentist - General Practice in Jacksonville, FL
NPI Status: Active since August 22, 2006
Contact Information
4273 POINT LA VISTA RD S
JACKSONVILLE, FL
ZIP 32207
Phone: (904) 398-0404
Fax: (904) 398-0404
- Individual
- Male
- Dentist
- General Practice
- Accepts Insurance
About GRADY JOHNSON
This page provides the complete NPI Profile along with additional information for Grady Johnson, a provider established in Jacksonville, Florida with a medical specialization in Dentist, focusing in general practice . The healthcare provider is registered in the NPI registry with number 1861508715 assigned on August 2006. The practitioner's primary taxonomy code is 1223G0001X with license number DN 7137 (FL). The provider is registered as an individual and his NPI record was last updated 2 years ago.
- NPI
- 1861508715
- Provider Name
- DR. GRADY EARL JOHNSON JR. DMD
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 4273 POINT LA VISTA RD S JACKSONVILLE, FL 32207
- Location Phone
- (904) 398-0404
- Location Fax
- (904) 398-0404
- Mailing Address
- 4273 POINT LA VISTA RD S JACKSONVILLE, FL 32207
- Mailing Phone
- (904) 398-0404
- Mailing Fax
- (904) 398-0404
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 08-22-2006
- Last Update Date
- 03-07-2023
- Code Navigator
A dentist like Grady Johnson is a skilled in and licensed provider that diagnoses and treats problems with patients teeth, gums, and related parts of the mouth. Dentists educate patients on how to take care of the teeth and gums and provide information on diet choices that affect oral health. Dentists must be licensed in the state in which they work.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Dentist General Practice
- Taxonomy Code
- 1223G0001X
- Type
- Dental Providers
- License No.
- DN 7137
- License State
- FL
- Taxonomy Description
- 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.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- BlueCare Dental 4 Kids? 1A - PPO
- BlueCare Dental 4 Kids? 1B - PPO
- BlueCare Dental? 1A - PPO
- BlueCare Dental? 1B - PPO
- BlueCare Dental? 1C - PPO
- BlueCare Dental? 1D - PPO
- BlueCare Dental 4 Kids? 1A - PPO
- BlueCare Dental 4 Kids? 1B - PPO
- BlueCare Dental? 1A - PPO
- BlueCare Dental? 1B - PPO
- BlueCare Dental? 1C - PPO
- BlueCare Dental? 1D - PPO
- BlueCare Dental 4 Kids? 1A - PPO
- BlueCare Dental 4 Kids? 1B - PPO
- BlueCare Dental? 1A - PPO
- BlueCare Dental? 1B - PPO
- BlueCare Dental? 1C - PPO
- BlueCare Dental? 1D - PPO
- BlueCare Dental 1D - PPO
- BlueCare Dental 4 Kids? 1A - PPO
- BlueCare Dental 4 Kids? 1B - PPO
- BlueCare Dental? 1A - PPO
- BlueCare Dental? 1B - PPO
- BlueCare Dental? 1C - PPO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 074459000 | MEDICAID (05) | FL |
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 8 | 6 | 1 | 5 | 0 | 8 | 7 | 1 | 5 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 8 | 12 | 1 | 10 | 0 | 16 | 7 | 2 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 8 + 1 + 2 + 1 + 1 + 0 + 0 + 1 + 6 + 7 + 2 + 24 = 55 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 55 = 5 | 5 | ||||||||
The NPI number 1861508715 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1861508715, enumerated as an "individual" on August 22, 2006.
The provider is located at 4273 POINT LA VISTA RD S JACKSONVILLE, FL 32207 and the phone number is (904) 398-0404.
Dentist with taxonomy code 1223G0001X and a focus in General Practice.
The provider might be accepting Accepts: Blue Cross and Blue Shield of Illinois, Blue Cross. Please consult your insurance carrier or call the provider to verify.
