Doctor profile · Federal record
Dr. Dallas Johnston, PA
Physician Assistant · Grand Rapids, MI
- NPI 1386394898
- Accepts Medicare
- 3 yrs in practice
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
100 Michigan St Ne # Mc019
Grand Rapids, MI 495032560
(616) 486-0310 - Mailing address
-
100 Michigan St Ne # Mc845
Grand Rapids, MI 495032560
Credentials & registration
- NPI registered
- March 2022 — 4 yrs on file
- Profile last updated
- October 9, 2023
- Year of graduation
- 2023 — 3 yrs since
- Specialty taxonomy
- 363A00000X — NUCC code
- State license (1)
- Michigan #5601011845
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1386394898. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$568
Transactions
27
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Ucb, INC. | 27 | $568.01 |
By nature of payment
Hospital affiliations
Frequently asked questions
What is Dr. Dallas Johnston's medical specialty?
Dr. Dallas Johnston practices Physician Assistant in Grand Rapids, MI.
Where does Dr. Dallas Johnston practice?
Dr. Dallas Johnston practices at 100 Michigan St Ne # Mc019, Grand Rapids, MI 495032560. Office phone: 6164860310.
What is Dr. Dallas Johnston's NPI?
Dr. Dallas Johnston's National Provider Identifier (NPI) is 1386394898, issued by NPPES.
Does Dr. Dallas Johnston accept Medicare assignment?
Yes. Dr. Dallas Johnston accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.