MR. RANDY JOHNSON


Address: 3053 Freedom Dr, Charlotte, NC 28208-3859
Phone: 7043933911

MR. RANDY JOHNSON (NPI# 1871716225) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1871716225
Entity Type Individual
Full Name MR. RANDY JOHNSON
Credential DMD
Practice Address 3053 Freedom Dr
Charlotte
NC 28208-3859
Practice Telephone 7043933911
Practice Fax Number 7043921096
Mailing Telephone 7043933911
Mailing Fax Number 7043921096
Enumeration Date 2007-04-11
Last Update Date 2012-08-06
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223G0001X Dentist
Specialization: General Practice
8902 NC Dental Providers
N 1223G0001X Dentist
Specialization: General Practice
3056 SC Dental Providers

Other Provider Identifier

State Issuer Identifier Type Code
NC 5910724 05
SC Z30565 05

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1417970971 Randy Johnson Specialist/Technologist 5150 Farna Ave, Arcadia, CA 91006-5966 2006-07-25
1972581957 Randy Gordon Johnson Pharmacist 34617 Se 56th Pl, Fall City, WA 98024-8806 2006-01-09
1659932580 Randy W Johnson Nurse Practitioner 736 Broadway N, Fargo, ND 58102-4421 2019-06-21
1073787677 Randy M Johnson Physician Assistant 2200 Whitney Avenue, Suite 360, Hamden, CT 06518-3694 2008-04-15
1629247317 Randy Johnson Prosthetic/Orthotic Supplier 405 Parkway, Suite G, Greensboro, NC 27401-1308 2008-02-27
1508035189 Randy Lee Johnson Durable Medical Equipment & Medical Supplies 117 E Main St, Dundee, FL 33838-4219 2008-02-27

Office Location

Street Address 3053 FREEDOM DR
City CHARLOTTE
State NC
Zip Code 28208-3859

Providers in the same location

NPI Name Taxonomy Address Enumeration
1053518324 Ronald Allyn Perlow Dentist 3053 Freedom Dr, Suite B, Charlotte, NC 28208-3859 2007-06-29

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1124645544 Charlotte Sp Senior Housing Opco, LLC Custodial Care Facility 6041 Piedmont Row Drive, Charlotte, NC 28208 2020-07-01
1750929659 Tru Pearl Solution Services Pllc Community/Behavioral Health 2128 Remount Road Suite B, Charlotte, NC 28208 2019-12-11
1245880699 Camilla A Raley Technician 1539 Walton Rd, Charlotte, NC 28208 2019-09-18
1912567041 Nolan Scott Blake In Home Supportive Care 4926 Ridgeley Dr., Suite B, Charlotte, NC 28208 2019-06-20
1699244145 Catalyst Chiropractic, Pllc Chiropractor 2620 Tuckaseegee Rd., Charlotte, NC 28208 2018-11-14
1255854691 Jessica Lynne Hunter Social Worker 2011 Water Walk Lane Apt 209, Charlotte, NC 28208 2017-07-18
1700311420 Matthew Christian Mundorf Chiropractor 2620 Tuckaseegee Rd, Charlotte, NC 28208 2017-05-01
1700235439 Erin Merchant Counselor 2016 Millerton Avenue, #2213, Charlotte, NC 28208 2016-06-03
1528432564 Monika Sheree Moore Counselor 3205 Freedom Dr, Charlotte, NC 28208 2015-11-13
1205224540 Phadality Home Care Home Health 201 S Hoskins Rd., Suite 119, Charlotte, NC 28208 2015-01-08
Find all providers in zip 28208

Taxonomy Information

Taxonomy Code 1223G0001X
Grouping Dental Providers
Classification Dentist
Specialization General Practice

Taxonomy 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.
Notes: Source: Academy of General Dentistry

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1346851805 Ganglani Dmd Pllc Dentist 8420 Park Rd, Charlotte, NC 28210-5801 2020-08-10
1598381816 Robert Edwin Porter Dentist 135 S Sharon Amity Rd Ste 200, Charlotte, NC 28211-3871 2020-06-23
1811511165 Cameron Campbell Dentist 2315 W Arbors Dr Ste 220, Charlotte, NC 28262-2639 2020-06-02
1407479264 Darren Ramsey Dds Pllc Dentist 2748 Interstate St Ste C, Charlotte, NC 28208-3654 2020-05-27
1265052070 Alterman Dhillon and Associates Dentist 4815 Berewick Town Center Dr Ste I&j, Charlotte, NC 28278-6733 2020-04-22
1982234357 S. Gibree, D.m.d., P.C. Dentist 8680 Rachel Freeman Way Ste A, Charlotte, NC 28278-9567 2020-01-24
1093354854 S. Gibree, D.m.d., P.C. Dentist 9511 Riverbend Village Dr Ste I5, Charlotte, NC 28216-9124 2019-12-27
1063057479 Justin Harlow Dds Pa 2 Dentist 2607 E 7th St Ste 102, Charlotte, NC 28204-4308 2019-11-08
1336782192 David Hendrick Dds Pllc IIi Dentist 13739 Steele Creek Rd Unit 100, Charlotte, NC 28273-7139 2019-10-24
1891342119 Natasha Mofrad Dentist 3210 Wilkinson Blvd, Charlotte, NC 28208-5661 2019-08-21
Find all providers in CHARLOTTE

Competitor

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City CHARLOTTE
Zip Code 28208

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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