Organization Active NPI

William S Johnston DDS PA

  • Dentist
  • W St Paul, MN
National Provider Identifier
1952569220
Registry record updated May 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
10556 Issued in MN
Legal business name
WILLIAM S JOHNSTON DDS PA
Practice address
1545 Livington Ave Suite 101
W St Paul, MN 55118
Phone
(651) 455-0505
Fax
(651) 455-0625
NPI assigned
May 23, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 23, 2008

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

Authorized official

Name
Dr. William S Johnston, DDS
Title
Owner Dentist
Phone
(651) 455-0505

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 10556 MN Primary

Addresses

Primary practice location

1545 Livington Ave Suite 101
W St Paul, MN 55118

Mailing address

1545 Livington Ave Suite 101
W St Paul, MN 55118
Phone (651) 455-0505

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1211500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211500800000",
    "number": "1952569220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1545 LIVINGTON AVE SUITE 101",
            "city": "W ST PAUL",
            "state": "MN",
            "postal_code": "55118",
            "telephone_number": "651-455-0505",
            "fax_number": "651-455-0625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1545 LIVINGTON AVE SUITE 101",
            "city": "W ST PAUL",
            "state": "MN",
            "postal_code": "55118",
            "telephone_number": "651-455-0505",
            "fax_number": "651-455-0625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM S JOHNSTON DDS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-23",
        "last_updated": "2008-05-23",
        "status": "A",
        "authorized_official_last_name": "JOHNSTON",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER DENTIST",
        "authorized_official_telephone_number": "651-455-0505",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "MN",
            "license": "10556",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in W St Paul, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2008; 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.