Emery Peter Johnston, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

5088 Issued in NC

Practice address

1613 Mortford Dr
Charlotte, NC 28209-3702

Phone

(704) 523-0551

Fax

(704) 525-6753

NPI assigned

Dec 6, 2006

Last updated

Jul 8, 2007By 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 1

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.

• Modlin & Londry XI DDS PLLC

  dba Family Dentistry on Montford

  • General Practice Dentistry
  • Charlotte, NC
  • NPI 1205551017
  NPD (past)

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

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1538228556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1613 MORTFORD DR",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282093702",
            "telephone_number": "704-523-0551",
            "fax_number": "704-525-6753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1613 MORTFORD DR",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282093702",
            "telephone_number": "704-523-0551",
            "fax_number": "704-525-6753"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSTON",
        "first_name": "EMERY",
        "middle_name": "PETER",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "5088",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Trisha Leann Johnson, MSW, P-LCSW
• Walter Wallace Johnson, M.D.
• Wesley Johnson
• William Derrick Johnson, LPCA, LCASA
• William Timothy Johnson, CRNA
• Emily Johnston, RD
• Jessica Johnston
• Jillian Martell Johnston
• Mollie Johnston
• Richard Chase Johnston, PA-C

• General Practice Dentistry in Charlotte, NC
• Providers in Charlotte, NC by specialty
• General Practice Dentistry in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.