Chelsea Johnston

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

DEN4777 Issued in ME

Practice address

300 Technology Way
Scarborough, ME 04074-7654

Phone

(207) 883-4203

NPI assigned

Apr 10, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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 and National Provider Directory roles.

• Just for Kids Pediatric Dentistry, PLLC

  • Pediatric Dentistry
  • Scarborough, ME
  • NPI 1366574675
  NPD (past)

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

{
    "created_epoch": "1523318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598918400000",
    "number": "1245737832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 BURGET AVE",
            "city": "MEDFORD",
            "state": "MA",
            "postal_code": "021555422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 TECHNOLOGY WAY",
            "city": "SCARBOROUGH",
            "state": "ME",
            "postal_code": "040747654",
            "telephone_number": "207-883-4203"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4341 Tudor Centre Dr Ste 100",
            "address_purpose": "LOCATION",
            "city": "Anchorage",
            "state": "AK",
            "postal_code": "995085904",
            "country_code": "US",
            "telephone_number": "907-729-2000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSTON",
        "first_name": "CHELSEA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-04-10",
        "last_updated": "2020-09-01",
        "certification_date": "2020-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "ME",
            "license": "DEN4777",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lynda Dunn Johnson, PSY.D.
• Matthew T. Johnson, PA-C
• Natalie Johnson
• Patricia A Johnson, PA-C
• Patrick Johnson
• Michael Johnston, LCSW
• Wendy J. Johnston, PA-C
• Alexis J Jones
• Just for Kids Pediatric Dentistry, PLLC
• Jessica Ann Kaake, OCCT

• Pediatric Dentistry in Scarborough, ME
• Providers in Scarborough, ME by specialty
• Pediatric Dentistry in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2020; 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.