Krestina Johnson, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

12012299A Issued in IN

Practice address

912 S Rangeline Rd Ste 201
Carmel, IN 46032-8850

Phone

(317) 846-3539

NPI assigned

Jun 1, 2015

Last updated

Mar 31, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Avalon Dentistry, Inc.

  • General Practice Dentistry
  • Indianapolis, IN
  • NPI 1699974345
  NPD (past)
• Cornerstone Dentistry Inc

  • General Practice Dentistry
  • Carmel, IN
  • NPI 1679783062
  NPD (past)

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

{
    "created_epoch": "1433116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617148800000",
    "number": "1114307568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "912 S RANGELINE RD STE 201",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460328850",
            "telephone_number": "317-846-3539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "912 S RANGELINE RD STE 201",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460328850",
            "telephone_number": "317-846-3539"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7118 N Shadeland Ave",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462502020",
            "country_code": "US",
            "telephone_number": "317-849-6776",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "KRESTINA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-06-01",
        "last_updated": "2021-03-31",
        "certification_date": "2021-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IN",
            "license": "12012299A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jamie Johnson, ED.S
• Kayla Renee Johnson, PA-C
• Kelly Johnson
• Kennedy Paige Johnson
• Keyonica Johnson
• Laurene Martin Johnson
• Patricia K Johnson, MS
• Zoey Linn Johnson, PA-C
• William Marshall Johnston, MA, LMHC, LCAC
• Mary A Jolly, ANP-BC

• Dentist in Carmel, IN
• Providers in Carmel, IN by specialty
• Dentist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.