Cheryl Lee Johnston, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

39017 Issued in CA

Practice address

31506 Railroad Canyon Rd
Suite #3
Canyon Lake, CA 92587-9412

Phone

(951) 244-3011

Fax

(951) 244-0306

NPI assigned

Aug 31, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1780796821",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31506 RAILROAD CANYON RD",
            "address_2": "SUITE #3",
            "city": "CANYON LAKE",
            "state": "CA",
            "postal_code": "925879412",
            "telephone_number": "951-244-3011",
            "fax_number": "951-244-0306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31506 RAILROAD CANYON RD",
            "address_2": "SUITE #3",
            "city": "CANYON LAKE",
            "state": "CA",
            "postal_code": "925879412",
            "telephone_number": "951-244-3011",
            "fax_number": "951-244-0306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSTON",
        "first_name": "CHERYL",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "39017",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• JDC Provider, Inc (Caregiver Provider)
• Jeffrey C.Swink Chiropracitic Inc.
• Gail Dolores Jerideau-Pratt, R.N.
• Karen Leilani John
• Corey Johnson, PMHNP
• Darrah Kay Jones
• Maureen Amie Allen Kaczmarski, MFCT
• Nicole Ladson Dubose
• Geena Lee
• Ku Il Lee, D.C.

• General Practice Dentistry in Canyon Lake, CA
• Providers in Canyon Lake, CA by specialty
• General Practice Dentistry in California

• 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.