Active NPI
David H Johnston, DDS
- Dentist
- North Platte, NE
National Provider Identifier
1083799571
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- NE4289
- Practice address
- 102 S Elm St
North Platte, NE 69101-5170 - Phone
- (308) 532-3865
- NPI assigned
- Oct 25, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Dentist | 122300000X | NE4289 | NE | Primary |
Addresses
Primary practice location
102 S Elm St
North Platte, NE 69101-5170
Mailing address
102 S Elm St
North Platte, NE 69101-5170
Phone (308) 532-3865
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 47055690800 | Medicaid | NE |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NE4289 | NE | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161734400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1083799571",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "102 S ELM ST",
"city": "NORTH PLATTE",
"state": "NE",
"postal_code": "691015170",
"telephone_number": "308-532-3865"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "102 S ELM ST",
"city": "NORTH PLATTE",
"state": "NE",
"postal_code": "691015170",
"telephone_number": "308-532-3865"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSTON",
"first_name": "DAVID",
"middle_name": "H",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-25",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NE",
"license": "NE4289",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "47055690800",
"state": "NE"
}
],
"endpoints": [],
"other_names": []
}Other providers in North Platte, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.