DR. KERRY ALAN JOHNSON DDS NPI 1013079060

NPI Information

NPI: 1013079060
Provider Name: DR. KERRY ALAN JOHNSON, DDS
Classification: Dentist - 1223G0001X
Specialization: General Practice
Entity Type: Individual
PECOS Registration: Yes
Address: 3244 HARRISBURG PIKE
LANDISVILLE, PA
ZIP 17538
Phone: (717) 898-7733

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NPI Details

DR. Kerry Alan Johnson, DDS is a general practice dentist in Landisville, PA. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. DR. Kerry Alan Johnson, DDS NPI is 1013079060. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3244 HARRISBURG PIKE
LANDISVILLE, PA
ZIP 17538-316
Phone: (717) 898-7733
Fax: (717) 898-9802

The NPI 1013079060 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The enumeration date for this NPI number is 12/15/2006 and was last updated on 12/19/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	1223G0001X	Dentist	General Practice	DS-29400-L	PENNSYLVANIA	Yes
2	332BC3200X	Durable Medical Equipment & Medical Supplies	Customized Equipment			No

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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