Individual provider Active NPI

Joel P Johnston, DMD

  • Dentist
  • Murrells Inlet, SC
National Provider Identifier
1811189673
Registry record updated Jul 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
2276 Issued in SC
Practice address
675 Wachesaw Rd Unit C
Murrells Inlet, SC 29576-5681
Phone
(843) 651-6776
Fax
(843) 651-7487
NPI assigned
Aug 15, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 19, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 2276 SC Primary

Addresses

Primary practice location

675 Wachesaw Rd Unit C
Murrells Inlet, SC 29576-5681

Mailing address

675 Wachesaw Rd Unit C
Murrells Inlet, SC 29576-5681
Phone (843) 651-6776

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
2276SCMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lowcountry Family Dentistry Dentist Past Accepting new patients

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": "1187136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1342656000000",
    "number": "1811189673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "675 WACHESAW RD UNIT C",
            "city": "MURRELLS INLET",
            "state": "SC",
            "postal_code": "295765681",
            "telephone_number": "843-651-6776",
            "fax_number": "843-651-7487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "675 WACHESAW RD UNIT C",
            "city": "MURRELLS INLET",
            "state": "SC",
            "postal_code": "295765681",
            "telephone_number": "843-651-6776",
            "fax_number": "843-651-7487"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSTON",
        "first_name": "JOEL",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-08-15",
        "last_updated": "2012-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "SC",
            "license": "2276",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Murrells Inlet, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2012; 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.