Jerry Lamar Johnston, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

3839 Issued in LA

Practice address

306 E Reynolds Dr
Ruston, LA 71270-2846

Phone

(318) 255-6780

Fax

(318) 255-6778

NPI assigned

Mar 29, 2007

Sex

Male

Sole proprietor

No

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 LA

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

Specialty

Dentist

Education

Louisiana State University School of Dentistry, 1983

Medicare assignment

May accept Medicare assignment

Group practices

Johnston and Murphy Dental Care LLCGroup PAC ID 0143683847, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Johnston and Murphy Dental Care LLC

  • Dentist
  • Ruston, LA
  • NPI 1376250373
  Medicare reassignment Care Compare group NPD
• Johnston Dental Care

  • Dentist
  • Ruston, LA
  • NPI 1710336862
  NPD (past) Authorized official

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

{
    "created_epoch": "1175126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667347200000",
    "number": "1124148689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "306 E REYNOLDS DR",
            "city": "RUSTON",
            "state": "LA",
            "postal_code": "712702846",
            "telephone_number": "318-255-6780",
            "fax_number": "318-255-6778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "306 E REYNOLDS DR",
            "city": "RUSTON",
            "state": "LA",
            "postal_code": "712702846",
            "telephone_number": "318-255-6780",
            "fax_number": "318-255-6778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSTON",
        "first_name": "JERRY",
        "middle_name": "LAMAR",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-29",
        "last_updated": "2022-11-02",
        "certification_date": "2022-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "LA",
            "license": "3839",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ladaisha A Johnson
• Latina S. Johnson
• Vevelyn Johnson
• Johnston and Murphy Dental Care LLC
• Johnston Dental Care
• Kimberly Sherrell Jolivette
• Aaliyah Jones
• Ashley Brianna Jones
• Brett Thomas Jones, DPT
• Danielle Jones, R.P.T.

• Dentist in Ruston, LA
• Providers in Ruston, LA by specialty
• Dentist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2022; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.