NPIMap

Organization Active NPI

Johnston Dental Care LLC

  • General Practice Dentistry
  • Grants Pass, OR
National Provider Identifier
1164810941
Registry record updated Jan 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
JOHNSTON DENTAL CARE LLC
Practice address
1215 NE 7TH St Ste a
Grants Pass, OR 97526-1450
Phone
(541) 479-6623
Fax
(541) 479-6776
NPI assigned
Jan 2, 2015
Last updated
Jan 2, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2015

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

Authorized official

Name
Dr. Cory Michael Johnston, DMDNPI 1376863068
Title
Dentist
Phone
(541) 479-6623

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

1215 NE 7TH St Ste a
Grants Pass, OR 97526-1450

Mailing address

1215 NE 7TH St Ste a
Grants Pass, OR 97526-1450
Phone (541) 479-6623

National Provider Directory

National Provider Directory

Locations

1215 NE 7th St
Ste A
Grants Pass, OR 97526
Phone (541) 479-6623

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1420156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1420156800000",
    "number": "1164810941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1215 NE 7TH ST STE A",
            "city": "GRANTS PASS",
            "state": "OR",
            "postal_code": "975261450",
            "telephone_number": "541-479-6623",
            "fax_number": "541-479-6776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1215 NE 7TH ST STE A",
            "city": "GRANTS PASS",
            "state": "OR",
            "postal_code": "975261450",
            "telephone_number": "541-479-6623",
            "fax_number": "541-479-6776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHNSTON DENTAL CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-02",
        "last_updated": "2015-01-02",
        "status": "A",
        "authorized_official_last_name": "JOHNSTON",
        "authorized_official_first_name": "CORY",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "541-479-6623",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grants Pass, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2015; 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.