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DR. JERRY LAMAR JOHNSTON D.D.S.
NPI 1124148689
Dentist in Ruston, LA

Active since March 29, 2007PECOS Enrolled
306 E REYNOLDS DR, RUSTON, LA 71270(318) 255-6780(318) 255-6778 Get Directions Write a Review

NPPES record last updated: November 2, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Jerry Lamar Johnston D.d.s. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JERRY LAMAR JOHNSTON D.D.S. (NPI 1124148689) is an individual dentist in Ruston, Louisiana, licensed in Louisiana (3839) and active in the NPI registry since March 2007. He is enrolled in Medicare PECOS and is a graduate of Louisiana State University School Of Dentistry (1983).

NPPES Registry Identity

NPI1124148689
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDR. JERRY LAMAR JOHNSTONCredential: D.D.S.
Location Address306 E REYNOLDS DRRuston, LA 71270-2846
Mailing Address306 E Reynolds DrRuston, LA 71270-2846 · (318) 255-6780 · Fax (318) 255-6778
Phone(318) 255-6780
Fax(318) 255-6778
Sole ProprietorNo
Medical School CMSLouisiana State University School Of DentistryGraduated 1983
Enumeration DateMarch 29, 2007
Last NPPES UpdateNovember 2, 2022
NPPES CertifiedNovember 2, 2022
✔ NPI 1124148689 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in LA · 3839
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
306 E REYNOLDS DR, Ruston, LA 71270
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Jerry Lamar Johnston D.d.s. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID345600912
PECOS Enrollment IDI20240418001821
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 71270 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$83.60 typical visit price
range $53.43 – $164.73
Typical copayment $20.90 (range $13.35 – $41.18)
Most-billed visit code 99203
Established Patient
$67.06 typical visit price
range $16.64 – $133.62
Typical copayment $16.76 (range $4.16 – $33.40)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SUSANN MCMAHEN DDS
Dentist
306 E REYNOLDS DR, SUITE 1
RUSTON, LA 71270
Lincoln Parish (318) 255-6780
JOHNSTON AND MURPHY DENTAL CARE LLC
Dentist
306 E REYNOLDS DR
RUSTON, LA 71270
Lincoln Parish (318) 255-6780
JOHNSTON DENTAL CARE
Dentist
306 E REYNOLDS DR, SUITE 1
RUSTON, LA 71270
Lincoln Parish (318) 255-6780
DR. KENNETH LANE COX DDS
Dentist (General Practice)
306 E REYNOLDS DR, SUITE B
RUSTON, LA 71270
Lincoln Parish (318) 255-1592

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jerry Johnston's NPI number?

The NPI number for Jerry Johnston is 1124148689. It was assigned to this individual provider in the NPPES registry on March 29, 2007.

Where is Jerry Johnston located?

Jerry Johnston practices at 306 E Reynolds Dr, Ruston, LA 71270. The listed phone number is (318) 255-6780.

What is Jerry Johnston's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Jerry Johnston enrolled in Medicare?

Yes. Jerry Johnston is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jerry Johnston was last updated on November 2, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.