Logan N. Johnson, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

7533 Issued in LA

Practice address

3645 Williams Blvd Ste 103
Kenner, LA 70065-3464

Phone

(504) 443-5882

NPI assigned

May 1, 2024

Last updated

Aug 13, 2025By 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

Medicare fee-for-service enrollment

Enrolled in LA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Logan N Johnson DDS LLC

  dba Nola Dental Studio

  • General Practice Dentistry
  • Kenner, LA
  • NPI 1104701044
  NPD Authorized official
• Amanda Ewing Haszinger, DDS

  • General Practice Dentistry
  • Kenner, LA
  • NPI 1326279498
  NPD (past)
• Dr. Greg S. Phillips and Associates, LLC

  • General Practice Dentistry
  • Lutcher, LA
  • NPI 1861715864
  NPD (past)

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

{
    "created_epoch": "1714521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755043200000",
    "number": "1720835507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1960 JEFFERSON HWY",
            "city": "LUTCHER",
            "state": "LA",
            "postal_code": "700715119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3645 WILLIAMS BLVD STE 103",
            "city": "KENNER",
            "state": "LA",
            "postal_code": "700653464",
            "telephone_number": "504-443-5882"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1960 Jefferson Hwy",
            "address_purpose": "LOCATION",
            "city": "Lutcher",
            "state": "LA",
            "postal_code": "700715119",
            "country_code": "US",
            "telephone_number": "225-869-4422",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "LOGAN",
        "middle_name": "N.",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-05-01",
        "last_updated": "2025-08-13",
        "certification_date": "2025-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "LA",
            "license": "7533",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Bull Pharmacy, Inc
• Benjamin Everett Johnson, M.A., PLPC, PLMFT
• Felica Johnson
• Juanita Louise Johnson, LCSW-BACS
• Julie Johnson
• Jennifer Kristin Johnston, PHD
• Suneil Jolly, M.D.
• Tarun Jolly, MD
• Brandi K Jones, MD
• Christine Widdows Jordan, M.D.

• General Practice Dentistry in Kenner, LA
• Providers in Kenner, LA by specialty
• General Practice Dentistry in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.