Active NPI
Frederick L. Johnston, D.D.D
- Orthodontics and Dentofacial Orthopedics Dentistry
- Dublin, CA
National Provider Identifier
1104041961
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- 24989
- Practice address
- 4101 Dublin Blvd
Suite E
Dublin, CA 94568-4592 - Phone
- (925) 833-0535
- Fax
- (925) 833-8019
- NPI assigned
- Apr 16, 2007
- 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 |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 24989 | CA | Primary |
Addresses
Primary practice location
4101 Dublin Blvd
Suite E
Dublin, CA 94568-4592
Mailing address
1518 Honey Suckle CT
Pleasanton, CA 94588-8219
Phone (925) 833-0535
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 |
|---|---|---|---|
| 24989 | CA | MD | Orthodontics and Dentofacial Orthopedic Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176681600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1104041961",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1518 HONEY SUCKLE CT",
"city": "PLEASANTON",
"state": "CA",
"postal_code": "945888219",
"telephone_number": "925-833-0535",
"fax_number": "925-833-8019"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4101 DUBLIN BLVD",
"address_2": "SUITE E",
"city": "DUBLIN",
"state": "CA",
"postal_code": "945684592",
"telephone_number": "925-833-0535",
"fax_number": "925-833-8019"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSTON",
"first_name": "FREDERICK",
"middle_name": "L.",
"name_prefix": "Dr.",
"credential": "D.D.D",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-04-16",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "CA",
"license": "24989",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dublin, CA
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.