NPI 1053397315 · live from the CMS NPI Registry
Diane Johnson, DDS
Dentist, Orthodontics and Dentofacial Orthopedics in Indianapolis, IN. National Provider Identifier 1053397315, active.
NPI record
| NPI | 1053397315 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dentist, Orthodontics and Dentofacial Orthopedics 1223X0400X |
| Practice location | 1121 W Michigan St, Indianapolis, IN 46202 |
| Practice phone | 317-274-7433 |
| Mailing address | 203 N Indiana St, Mooresville, IN 46158 |
| Enumerated | December 19, 2005 |
| Last updated | July 13, 2026 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist, Orthodontics and Dentofacial Orthopedics primary | 1223X0400X | 12008858 (IN) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.