Organization Active NPI

Dale Johnstone, D.D.S., Inc.

  • Dental Clinic/Center
  • Tustin, CA
National Provider Identifier
1649329699
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
22507 Issued in CA
Legal business name
DALE JOHNSTONE, D.D.S., INC.
Practice address
1076 E 1St St Ste F
Tustin, CA 92780-3852
Phone
(714) 730-7877
Fax
(714) 730-9291
NPI assigned
Jan 9, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Dale R. Johnstone, D.D.S.
Title
Periodontist-President
Phone
(714) 730-7877

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 22507 CA Primary

Addresses

Primary practice location

1076 E 1St St Ste F
Tustin, CA 92780-3852

Mailing address

1076 E 1St St Ste F
Tustin, CA 92780-3852
Phone (714) 730-7877

National Provider Directory

National Provider Directory

Locations

1076 E 1st St
Ste F
Tustin, CA 92780
Phone (714) 730-7877

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": "1168300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1649329699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1076 E 1ST ST STE F",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927803852",
            "telephone_number": "714-730-7877",
            "fax_number": "714-730-9291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1076 E 1ST ST STE F",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927803852",
            "telephone_number": "714-730-7877",
            "fax_number": "714-730-9291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DALE JOHNSTONE, D.D.S., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JOHNSTONE",
        "authorized_official_first_name": "DALE",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "PERIODONTIST-PRESIDENT",
        "authorized_official_telephone_number": "714-730-7877",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CA",
            "license": "22507",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tustin, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.