Crystal L. Johnson, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

3586 Issued in SC

Practice address

3506 Medical Dr Ste a
Columbia, SC 29203-6516

Phone

(803) 256-2333

Fax

(803) 256-1580

NPI assigned

May 8, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Crystal Smiles PC

  • General Practice Dentistry
  • Columbia, SC
  • NPI 1700075041
  NPD (past) Authorized official

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

{
    "created_epoch": "1178582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752537600000",
    "number": "1912110685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3506 MEDICAL DR STE A",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292036516",
            "telephone_number": "803-256-2333",
            "fax_number": "803-256-1580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3506 MEDICAL DR STE A",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292036516",
            "telephone_number": "803-256-2333",
            "fax_number": "803-256-1580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "CRYSTAL",
        "middle_name": "L.",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-08",
        "last_updated": "2025-07-15",
        "certification_date": "2025-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "SC",
            "license": "3586",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "SC",
            "license": "3586",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Celeste Johnson, PSYD
• Chanelle M Johnson, RN
• Chantal D Johnson
• Chelsea Nicole Johnson, LISW-CP
• Cherilyn Johnson, LPC
• Crystal Y. Johnson, M.D.
• Douglas Eli Johnson, PHD
• Eileen Rena Johnson
• Elin Moore Johnson, RBT
• Erin Johnson, PH.D.

• General Practice Dentistry in Columbia, SC
• Providers in Columbia, SC by specialty
• General Practice Dentistry in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2025; 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.