Cole R Johnson, DMD

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

D9527 Issued in OR

Practice address

2755 Commercial St SE Ste 200
Salem, OR 97302-4991

Phone

(503) 967-6665

Fax

(503) 385-8471

NPI assigned

Jun 5, 2011

Sex

Male

Sole proprietor

Yes

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

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

{
    "created_epoch": "1307232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485475200000",
    "number": "1053605246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2755 COMMERCIAL ST SE STE 200",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973024991",
            "telephone_number": "503-967-6665",
            "fax_number": "503-385-8471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2755 COMMERCIAL ST SE STE 200",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973024991",
            "telephone_number": "503-967-6665",
            "fax_number": "503-385-8471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "COLE",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-06-05",
        "last_updated": "2017-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "OR",
            "license": "D9527",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bethany Carmela Johnson
• Brolin Johnson, PA
• Bruce Johnson, MD
• Carlos Ramone Johnson Sr.
• Charles Edward Johnson, CADC II
• Craig Brian Johnson, D.C.
• Damion Johnson
• Darryl Johnson, R.PH.
• David M Johnson
• Deborah M Johnson, MD

• Orthodontics and Dentofacial Orthopedics Dentistry in Salem, OR
• Providers in Salem, OR by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2017; 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.