Jeanine Huddlestun-Johns D.D.S.

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

JEANINE HUDDLESTUN-JOHNS D.D.S.

Practice address

605 South Vanburen
Newton, IL 62448

Phone

(618) 783-3714

Fax

(618) 783-3294

NPI assigned

Mar 10, 2008

Last updated

Mar 10, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Jeanine Marie Huddlestun-Johns, D.D.S.

Title

Owner

Phone

(618) 783-3714

Specialties & licenses 1

Addresses

Other identifiers 2

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jeanine Marie Fell, DDS

  • Dentist
  • Newton, IL
  • NPI 1467462788
  NPD (past)

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

{
    "created_epoch": "1205107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205107200000",
    "number": "1497925184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "605 SOUTH VANBUREN",
            "city": "NEWTON",
            "state": "IL",
            "postal_code": "62448",
            "telephone_number": "618-783-3714",
            "fax_number": "618-783-3294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "605 SOUTH VANBUREN",
            "city": "NEWTON",
            "state": "IL",
            "postal_code": "62448",
            "telephone_number": "618-783-3714",
            "fax_number": "618-783-3294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEANINE HUDDLESTUN-JOHNS D.D.S.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-10",
        "last_updated": "2008-03-10",
        "status": "A",
        "authorized_official_last_name": "HUDDLESTUN-JOHNS",
        "authorized_official_first_name": "JEANINE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "618-783-3714",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101119",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "180942",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Integrated Therapy Services, P.C. (Meraki Health)
• Jasper County Comm Unit Dist 1
• Jasper County Health Department
• Jasper County Health Department
• Jasper County Health Department
• Carissa Johnsen, B.A.
• Jeannie Johnson, MS, LCPC, CADC
• Sarah Christine Johnson, MS QMHP
• Ashley Keller
• Karen Eyman Kinder

• Dental Clinic/Center in Newton, IL
• Providers in Newton, IL by specialty
• Dental Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2008; 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.