Active NPI
Ryan C Johnstun, DDS
- General Practice Dentistry
- Cibolo, TX
National Provider Identifier
1043300411
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 39099
- Practice address
- 778 Cibolo Valley Dr Ste 119
Cibolo, TX 78108-4553 - Phone
- (210) 436-8823
- NPI assigned
- Oct 13, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 39099 | TX | Primary |
Addresses
Primary practice location
778 Cibolo Valley Dr Ste 119
Cibolo, TX 78108-4553
Mailing address
778 Cibolo Valley Dr Ste 119
Cibolo, TX 78108-4553
Phone (360) 436-1008
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 39099 | TX | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dental Health Associates of Texas, PC | General Practice | Current | Accepting new patients |
Locations
778 Cibolo Valley Dr
Ste 119
Cibolo, TX 78108
Phone (210) 436-8823
Organizations & group practices 1
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.
-
- General Practice Dentistry
- Cibolo, TX
- NPI 1487430021
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160697600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1735776000000",
"number": "1043300411",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "778 CIBOLO VALLEY DR STE 119",
"city": "CIBOLO",
"state": "TX",
"postal_code": "781084553",
"telephone_number": "360-436-1008",
"fax_number": "360-436-1147"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "778 CIBOLO VALLEY DR STE 119",
"city": "CIBOLO",
"state": "TX",
"postal_code": "781084553",
"telephone_number": "210-436-8823"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSTUN",
"first_name": "RYAN",
"middle_name": "C",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-13",
"last_updated": "2025-01-02",
"certification_date": "2025-01-02",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "TX",
"license": "39099",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cibolo, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.