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Jerry Alan Johnson, D.D.S.

NPI 1871584565ActiveIndividual· Dentist, General Practice· Pasadena, CA

Dentist, General Practice (D.D.S.) in Pasadena, California, licensed in CA, with an NPI issued in November 2005. Part D covered 14 prescriptions written in 2024, 100% of them generic. Keystone Dental Inc. reported $75.90 in payments in 2025, mostly food and beverage.

Overview

NPI1871584565
StatusActive
Entity typeIndividual
CredentialD.D.S.
Sole proprietorNo
NPI issuedNov 2, 2005
Last updated in NPPESJul 13, 2026

Specialties and licenses

TaxonomyCodeLicenseState
Dentist, General Practice Primary1223G0001X33106CA

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Part D prescriptions in 2024

Prescriptions (claims)14 · 14 30-day fills
Patients11
Total drug cost$39.74
Generic share100% of claims

Medicare sources and data years

Industry payments (Open Payments)

  • 2025$75.90 · 1 payment from 1 company

Top paying companies in 2025

CompanyAmountPayments
Keystone Dental Inc.$75.901

What the 2025 payments were for

  • Food and Beverage$75.90 · 1 payment

Receiving payments does not imply wrongdoing. What Open Payments covers ·original records

Other general dentists in Pasadena

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