Cory Michael Johnston, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

9969 Issued in OR

Practice address

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

Phone

(541) 479-6623

NPI assigned

Jun 4, 2010

Last updated

Jan 2, 2015By the provider in NPPES

Sex

Male

Sole proprietor

No

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Johnston Dental Care LLC

  • General Practice Dentistry
  • Grants Pass, OR
  • NPI 1164810941
  NPD (past) Authorized official

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

{
    "created_epoch": "1275609600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1420156800000",
    "number": "1376863068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1215 NE 7TH ST",
            "address_2": "SUITE A",
            "city": "GRANTS PASS",
            "state": "OR",
            "postal_code": "975261450",
            "telephone_number": "541-479-6623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1215 NE 7TH ST",
            "address_2": "SUITE A",
            "city": "GRANTS PASS",
            "state": "OR",
            "postal_code": "975261450",
            "telephone_number": "541-479-6623"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSTON",
        "first_name": "CORY",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-06-04",
        "last_updated": "2015-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CO",
            "license": "DEN-10208",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OR",
            "license": "9969",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca Ann Johnson, BA CADC II
• Ross Johnson
• Tamara Ranee-Barron Johnson
• Teri Lynn Johnson
• Johnston Dental Care LLC
• Katherine Suzanne Johnston, M.D.
• Matthew Parker Johnston, DMD
• Mark Ivan Johnstun, LPC
• Jessee Joann Jolee
• Jocelyn Joling

• General Practice Dentistry in Grants Pass, OR
• Providers in Grants Pass, OR by specialty
• General Practice Dentistry in Oregon

• 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.