Timothy Chapman Johnson, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

DEN-DEN-LIC-15423 Issued in MT

Practice address

203 Main St
Polson, MT 59860-2119

Phone

(406) 883-0496

NPI assigned

Jun 14, 2018

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Molar System PLLC

  dba Quartz Creek Dental

  • Dentist
  • Kalispell, MT
  • NPI 1588256903
  NPD Authorized official

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

{
    "created_epoch": "1528934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611187200000",
    "number": "1003300989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 MAIN ST",
            "city": "POLSON",
            "state": "MT",
            "postal_code": "598602119",
            "telephone_number": "406-883-0496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 MAIN ST",
            "city": "POLSON",
            "state": "MT",
            "postal_code": "598602119",
            "telephone_number": "406-883-0496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "TIMOTHY",
        "middle_name": "CHAPMAN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-06-14",
        "last_updated": "2021-01-21",
        "certification_date": "2021-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MT",
            "license": "DEN-DEN-LIC-15423",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristi Ann Joachim
• Amy M. Johnson, FNP
• Brent D Johnson, DPT
• Kristi Johnson, LAC
• Paula R. Johnson, PT
• Darci D Jones, LCSW
• Kalispell Regional Medical Center Inc (Polson Health)
• Kalispell Regional Medical Center Inc (Logan Health Surgery Center - Polson)
• Margaret Susan Kearney, LCSW
• Graeson Boyd Keisel, PHARMD

• Dentist in Polson, MT
• Providers in Polson, MT by specialty
• Dentist in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2021; 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.