Smith L Johnston III, M.D.

Primary specialty

Aerospace Medicine PhysicianTaxonomy code 2083A0100X

License

J3823 Issued in TX

Practice address

2101 Nasa Pkwy
Mail Code SD26
Houston, TX 77058-3607

Phone

(281) 483-0453

NPI assigned

Jun 12, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1181606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1588868970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1402 REDWAY LN",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770625411",
            "telephone_number": "281-480-0791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 NASA PKWY",
            "address_2": "MAIL CODE SD26",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770583607",
            "telephone_number": "281-483-0453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSTON",
        "first_name": "SMITH",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083A0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Aerospace Medicine",
            "state": "TX",
            "license": "J3823",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS MEDICAL BOARD ID",
            "identifier": "J3823",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kirkwood Alexander Johnston, MD
• Matthew Aldrich Johnston, PA-C
• Michelle Johnston, ACNP
• Sarah Johnston
• Sharon Obrero Johnston, FNP-C
• Stoni Lee Johnston, APRN, MSN, PMHNP-BC
• William Johnston
• Edwin Enoch Johnstone, MD
• Gail M Joiner, DDS
• Laquanta Joiner, LPC

• Aerospace Medicine Physician in Houston, TX
• Providers in Houston, TX by specialty
• Aerospace Medicine Physician in Texas

• 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.