Organization Active NPI

Logan N Johnson DDS LLC

  • General Practice Dentistry
  • Kenner, LA
National Provider Identifier
1104701044
Registry record updated Aug 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
LOGAN N JOHNSON DDS LLC
Practice address
3645 Williams Blvd Ste 103
Kenner, LA 70065-3464
Phone
(504) 443-5882
NPI assigned
Aug 8, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2025

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

Authorized official

Name
Dr. Logan N Johnson, DDSNPI 1720835507
Title
Dentist (Owner)
Phone
(504) 443-5882

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

3645 Williams Blvd Ste 103
Kenner, LA 70065-3464

Mailing address

314 Metairie Heights Ave
Metairie, LA 70001-3039

Other names 1

  • Nola Dental Studio Doing business as

National Provider Directory

National Provider Directory

Locations

3645 Williams Blvd
Ste 103
Kenner, LA 70065
Phone (504) 443-5882

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1754611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1754611200000",
    "number": "1104701044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "314 METAIRIE HEIGHTS AVE",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700013039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3645 WILLIAMS BLVD STE 103",
            "city": "KENNER",
            "state": "LA",
            "postal_code": "700653464",
            "telephone_number": "504-443-5882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOGAN N JOHNSON DDS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-08",
        "last_updated": "2025-08-08",
        "certification_date": "2025-08-08",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "LOGAN",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "DENTIST (OWNER)",
        "authorized_official_telephone_number": "504-443-5882",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nola Dental Studio",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kenner, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 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.

Verify at the official NPI Registry.