Mary Smoak Johnston, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2365 Issued in SC

Practice address

225 S Pleasantburg Dr
Suite E10
Greenville, SC 29607-2544

Phone

(864) 233-7737

Fax

(864) 233-6559

NPI assigned

Nov 16, 2010

Last updated

May 21, 2012By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Greenville Youth Dentistry, LLC

  • General Practice Dentistry
  • Greenville, SC
  • NPI 1477595759
  NPD (past)
• Pleasantburg Drive Dental Health Center, P.C.

  dba Pleasantburg Family Dentistry

  • General Practice Dentistry
  • Greenville, SC
  • NPI 1013316231
  NPD (past)

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

{
    "created_epoch": "1289865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1337558400000",
    "number": "1437450897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 W 8TH ST",
            "address_2": "SUITE 810",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810033038",
            "telephone_number": "719-562-4447",
            "fax_number": "719-583-1801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 S PLEASANTBURG DR",
            "address_2": "SUITE E10",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296072544",
            "telephone_number": "864-233-7737",
            "fax_number": "864-233-6559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSTON",
        "first_name": "MARY",
        "middle_name": "SMOAK",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-11-16",
        "last_updated": "2012-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "SC",
            "license": "2365",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZX2365",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carey Elizabeth Johnston
• Douglas Thomas Johnston, DO
• Holli Kervin Johnston, NP
• Jessica Johnston
• Kristi Noelle Johnston
• Reid F Johnstone, MD
• Rudolph Gordon Johnstone III, MD
• Erica Brooke Jolly Nalley
• Jasmine Lynn Jolly, MD
• David Jolson, DC

• General Practice Dentistry in Greenville, SC
• Providers in Greenville, SC by specialty
• General Practice Dentistry in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2012; 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.