Kerry Alan Johnson, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DS-29400-L Issued in PA

Practice address

3244 Harrisburg Pike
Landisville, PA 17538-1316

Phone

(717) 898-7733

Fax

(717) 898-9802

NPI assigned

Dec 15, 2006

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Lancaster Sleep Solutions LLC

  • Customized Equipment (DME)
  • Landisville, PA
  • NPI 1356986822
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1166140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576713600000",
    "number": "1013079060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3244 HARRISBURG PIKE",
            "city": "LANDISVILLE",
            "state": "PA",
            "postal_code": "175381316",
            "telephone_number": "717-898-7733",
            "fax_number": "717-898-9802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3244 HARRISBURG PIKE",
            "city": "LANDISVILLE",
            "state": "PA",
            "postal_code": "175381316",
            "telephone_number": "717-898-7733",
            "fax_number": "717-898-9802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "KERRY",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-15",
        "last_updated": "2019-12-19",
        "certification_date": "2019-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS-29400-L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lane Christopher Hess, D.C.
• Celeste H Hutchinson, MA, LPC, CCDP-D, ETC
• Mark Hany Iskander, DMD
• JHC Group LLC
• James R Jiga, D.C.
• Katherine Kauffman, PHARMD
• Samuel Joel Knapp, ED.D.
• Lancaster General Medical Group
• Lancaster Sleep Solutions LLC
• Samantha Elizabeth Lansberry, MPH, RD, LDN

• General Practice Dentistry in Landisville, PA
• Providers in Landisville, PA by specialty
• General Practice Dentistry in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.