MR. RANDY JOHNSON DMD
NPI 1871716225
Dentist - General Practice in Charlotte, NC

Q: What is Randy Johnson's NPI number?

The NPI number for Randy Johnson is 1871716225. It was assigned to this individual provider in the NPPES registry on April 11, 2007.

Q: What is Randy 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 Randy Johnson was last updated on August 6, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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 April 11, 2007

3053 FREEDOM DR, CHARLOTTE, NC 28208(704) 393-3911(704) 392-1096 Get Directions Write a Review

NPPES record last updated: August 6, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Mr. Randy Johnson Dmd NPPES

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

MR. RANDY JOHNSON DMD (NPI 1871716225) is an individual general practice provider in Charlotte, North Carolina, licensed in North Carolina (8902) and active in the NPI registry since April 2007.

NPPES Registry Identity

NPI1871716225

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameMR. RANDY JOHNSONCredential: DMD

Location Address3053 FREEDOM DRCharlotte, NC 28208-3859

Mailing Address3053 Freedom DrCharlotte, NC 28208-3859 · (704) 393-3911 · Fax (704) 392-1096

Phone(704) 393-3911

Fax(704) 392-1096

Sole ProprietorNo

Enumeration DateApril 11, 2007

Last NPPES UpdateAugust 6, 2012

✔ NPI 1871716225 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

Licenses✔ Licensed in NC · 8902✔ Licensed in SC · 3056

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.

3053 FREEDOM DR, Charlotte, NC 28208

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Other Identifiers 2

MedicaidZ30565SC

Medicaid5910724NC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and more.Insurance ›

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 Randy Johnson's NPI number?

The NPI number for Randy Johnson is 1871716225. It was assigned to this individual provider in the NPPES registry on April 11, 2007.

Where is Randy Johnson located?

Randy Johnson practices at 3053 Freedom Dr, Charlotte, NC 28208. The listed phone number is (704) 393-3911.

What is Randy Johnson's specialty?

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

What insurance does Randy Johnson accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee, Anthem Blue Cross and Blue Shield and BEST Life and 12 other insurers list Randy 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 Randy Johnson was last updated on August 6, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.