Clayton Hardy Johnston, D.M.D., P.A.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

3131-00 Issued in MS

Practice address

224 S. Church St.
Ste. a
Brookhaven, MS 39601-4086

Phone

(601) 835-0090

Fax

(601) 835-0377

NPI assigned

Oct 6, 2006

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Physician Assistant

State licenses

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

{
    "created_epoch": "1160092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1881781250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "224 S. CHURCH ST.",
            "address_2": "SUITE A",
            "city": "BROOKHAVEN",
            "state": "MS",
            "postal_code": "396014086",
            "telephone_number": "601-835-0090",
            "fax_number": "601-835-0377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "224 S. CHURCH ST.",
            "address_2": "STE. A",
            "city": "BROOKHAVEN",
            "state": "MS",
            "postal_code": "396014086",
            "telephone_number": "601-835-0090",
            "fax_number": "601-835-0377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSTON",
        "first_name": "CLAYTON",
        "middle_name": "HARDY",
        "name_prefix": "Dr.",
        "credential": "D.M.D., P.A.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MS",
            "license": "3131-00",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carly Elizabeth Jergins
• Joey Sessums DMD, PC
• Marcus L Johnson, CRNA
• Nicholas Johnson, DPT
• Yaminah Johnson, FNP
• Antranekia Johnte Jones, MSW
• Randall K Jones
• Brittany Lester Jordan, PHARM D
• Joseph S Moak Jr MD PA
• Julie Ross, NP, PLLC Dba Brookhaven Neurobehavioral Clinic

• General Practice Dentistry in Brookhaven, MS
• Providers in Brookhaven, MS by specialty
• General Practice Dentistry in Mississippi

• 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.