Dale R. Johnstone, D.D.S.

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

22507 Issued in CA

Practice address

510 Calle Malaguena
San Clemente, CA 92672-2357

Phone

(714) 904-6808

NPI assigned

Jun 30, 2005

Sex

Male

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1120089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1437436800000",
    "number": "1225035603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 CALLE MALAGUENA",
            "city": "SAN CLEMENTE",
            "state": "CA",
            "postal_code": "926722357",
            "telephone_number": "714-904-6808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 CALLE MALAGUENA",
            "city": "SAN CLEMENTE",
            "state": "CA",
            "postal_code": "926722357",
            "telephone_number": "714-904-6808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSTONE",
        "first_name": "DALE",
        "middle_name": "R.",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-30",
        "last_updated": "2015-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "CA",
            "license": "22507",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eric Scott Johnson, DDS
• Evelyn M Johnson, DO
• James Robert Johnson, M.D.
• Martin Arthur Johnson, M.D.
• Raymon Tyler Johnson, D.C.
• Rima Danielle Jomaa, MA, MFT
• Jon Marashi, DDS, PC
• Cheyenne Jones
• Makenna Jean Jones
• Peyton Jones

• Periodontics in San Clemente, CA
• Providers in San Clemente, CA by specialty
• Periodontics in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.