Organization Active NPI

Tara Johnston DDS Inc

  • General Practice Dentistry
  • San Rafael, CA
National Provider Identifier
1467368522
Registry record updated Aug 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
TARA JOHNSTON DDS INC
Practice address
912 Grand Ave Ste 102
San Rafael, CA 94901-3552
Phone
(415) 453-9135
NPI assigned
Aug 19, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2026

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

Authorized official

Name
Dr. Tara Maria Johnston, DDS
Title
Ceo/Dentist
Phone
(510) 967-8773

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

912 Grand Ave Ste 102
San Rafael, CA 94901-3552

Mailing address

912 Grand Ave Ste 102
San Rafael, CA 94901-3552
Phone (415) 453-9135

National Provider Directory

National Provider Directory

Locations

912 Grand Ave
Ste 102
San Rafael, CA 94901
Phone (415) 453-9135

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1787097600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787097600000",
    "number": "1467368522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "912 GRAND AVE STE 102",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949013552",
            "telephone_number": "415-453-9135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "912 GRAND AVE STE 102",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949013552",
            "telephone_number": "415-453-9135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TARA JOHNSTON DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-08-19",
        "last_updated": "2026-08-19",
        "certification_date": "2026-08-19",
        "status": "A",
        "authorized_official_last_name": "JOHNSTON",
        "authorized_official_first_name": "TARA",
        "authorized_official_middle_name": "MARIA",
        "authorized_official_title_or_position": "CEO/DENTIST",
        "authorized_official_telephone_number": "510-967-8773",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Rafael, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2026; 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.