Individual provider Active NPI

Laura Johnstone, D.D.S.

  • General Practice Dentistry
  • Burnt Hills, NY
National Provider Identifier
1427315225
Registry record updated Jul 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
056137 Issued in NY
Practice address
163 Lake Hill Rd
Burnt Hills, NY 12027-9405
Phone
(518) 444-3717
NPI assigned
Apr 18, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 056137 NY Primary

Addresses

Primary practice location

163 Lake Hill Rd
Burnt Hills, NY 12027-9405

Mailing address

163 Lake Hill Rd
Burnt Hills, NY 12027-9405
Phone (518) 444-3717

Other practice location 1

89 North St
Granville, NY 12832-1138
Phone (518) 642-2111

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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

Enrollment IDStateProvider typePAC IDDetails
I20160215000260 NY Order and Referring Only - DentistPractitioner - Dentist 4385948272

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
056137NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Kletter & Levine PC General Practice Past Accepting new patients
Family Dentistry PC Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1334707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563840000000",
    "number": "1427315225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "163 LAKE HILL RD",
            "city": "BURNT HILLS",
            "state": "NY",
            "postal_code": "120279405",
            "telephone_number": "518-444-3717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "163 LAKE HILL RD",
            "city": "BURNT HILLS",
            "state": "NY",
            "postal_code": "120279405",
            "telephone_number": "518-444-3717"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "89 North St",
            "address_purpose": "LOCATION",
            "city": "Granville",
            "state": "NY",
            "postal_code": "128321138",
            "country_code": "US",
            "telephone_number": "518-642-2111",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSTONE",
        "first_name": "LAURA",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-04-18",
        "last_updated": "2019-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "056137",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burnt Hills, NY

Sources for this page

Verify at the official NPI Registry.