Active NPI
Sheila Johnston, R.D.H.
- Dental Hygienist
- Rochester, NY
National Provider Identifier
1013937697
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- 011592
- Practice address
- 322 Lake Ave
Rochester, NY 14608-1017 - Phone
- (585) 254-6480
- Fax
- (585) 254-1092
- NPI assigned
- Jul 19, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | 011592 | NY | Primary |
Addresses
Primary practice location
322 Lake Ave
Rochester, NY 14608-1017
Mailing address
480 Genesee St
Rochester, NY 14611-3634
Phone (585) 254-6480
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 011592 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Interoperability endpoints
- sheila.johnston@jh.eclinicaldirectplus.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153267200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1013937697",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "480 GENESEE ST",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146113634",
"telephone_number": "585-254-6480",
"fax_number": "585-254-1092"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "322 LAKE AVE",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146081017",
"telephone_number": "585-254-6480",
"fax_number": "585-254-1092"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSTON",
"first_name": "SHEILA",
"credential": "R.D.H.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-19",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "NY",
"license": "011592",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "011592",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Rochester, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.