Charles D. Johnson, DDS
Charles D. Johnson, DDS is a healthcare organization registered as General Practice Dentistry in Booneville, MS, holding Type 2 (organization) NPI 1629299847 since 2007. The authorized official on file is Joan Rorie, Office Manager.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1629299847 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Charles D. Johnson, DDS |
| Practice address | 607 W CHURCH ST, Booneville, MS, 38829 |
| Phone | 6627288133 |
| Fax | 6627286903 |
| Enumeration date | 2007-05-02 |
| Last updated in NPPES | 2022-07-21 |
Authorized official
| Name | Joan Rorie |
|---|---|
| Title | Office Manager |
| Phone | 6627288133 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 1223G0001X | General Practice Dentistry | Primary | — | MS |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00004329 | Medicaid | MS | — |
Copy-ready billing details
Provider: Charles D. Johnson, DDS NPI: 1629299847 Taxonomy: 1223G0001X (General Practice Dentistry) Address: 607 W CHURCH ST, Booneville, MS, 38829
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1679627335 | Catherine Mincy | Individual | General Practice Dentistry | Booneville, MS |
| 1790801298 | Catherine Johnson Mincy, DDS | Organization | General Practice Dentistry | Booneville, MS |
Verify this record
Cross-check NPI 1629299847 against the authoritative CMS record: view Charles D. Johnson, DDS on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What type of organization is Charles D. Johnson, DDS?
What is a Type 2 NPI?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2022-07-21.