Active NPI
Jay C. Johnston, M.D.
- Specialist
- Oklahoma City, OK
National Provider Identifier
1740217082
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 8645
- Practice address
- 4200 W Memorial Rd
Ste 101
Oklahoma City, OK 73120-9350 - Phone
- (405) 749-4280
- Fax
- (405) 749-4281
- NPI assigned
- Jun 26, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 8645 | OK | Primary |
Addresses
Primary practice location
4200 W Memorial Rd
Ste 101
Oklahoma City, OK 73120-9350
Mailing address
4200 W Memorial Rd
Ste 101
Oklahoma City, OK 73120-9350
Phone (405) 749-4280
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110915000819 | OK | Practitioner - Ophthalmology | 3678744034 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jay C. Johnston, M. D., Inc | Specialist | Current | Accepting new patients |
Locations
4200 W Memorial Rd
Ste 101
Oklahoma City, OK 73120
Phone (405) 749-4280
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151280000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1456444800000",
"number": "1740217082",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4200 W MEMORIAL RD",
"address_2": "STE 101",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731209350",
"telephone_number": "405-749-4280",
"fax_number": "405-749-4281"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4200 W MEMORIAL RD",
"address_2": "STE 101",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731209350",
"telephone_number": "405-749-4280",
"fax_number": "405-749-4281"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSTON",
"first_name": "JAY",
"middle_name": "C.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-06-26",
"last_updated": "2016-02-26",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "OK",
"license": "8645",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oklahoma City, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2016; 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.