Jerrin Johnson, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

DS042775 Issued in PA

Practice address

3000 Van Fleet Cir Apt 207
Sanatoga, PA 19464-3339

Phone

(215) 391-6749

NPI assigned

Jul 23, 2020

Last updated

Jun 28, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Enrolled in PA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Aligned Dental of Wyomissing

  dba The Sleep Apnea and Craniofacial Pain Center of Pennsylvania

  • General Practice Dentistry
  • Wyomissing, PA
  • NPI 1710677190
  NPD (past)
• Wyomissing Dental Associates, P.C.

  dba Grove Dental Group

  • General Practice Dentistry
  • Wyomissing, PA
  • NPI 1326318254
  NPD (past)

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

{
    "created_epoch": "1595462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751068800000",
    "number": "1942819248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 VAN FLEET CIR APT 207",
            "city": "SANATOGA",
            "state": "PA",
            "postal_code": "194643339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 VAN FLEET CIR APT 207",
            "city": "SANATOGA",
            "state": "PA",
            "postal_code": "194643339",
            "telephone_number": "215-391-6749"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "JERRIN",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-07-23",
        "last_updated": "2025-06-28",
        "certification_date": "2025-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS042775",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Cereo, OPTICIAN
• Madison Crowe, OD
• Kathleen Bernadette Dalasio, OTRL
• Jessica Edwards, PHARMD
• Carolina Perez Hansell
• Barbara Kimball, LCSW
• Limerick Medical Center, PC
• John T. Louis, MD, FACS
• New Path Vision of Pottstown LLC
• Wayne Louis Pellegrini, PHD

• Dentist in Sanatoga, PA
• Providers in Sanatoga, PA by specialty
• Dentist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2025; 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.

Verify at the official NPI Registry.