Katie Johnson, R.D.H.

Primary specialty

Dental HygienistTaxonomy code 124Q00000X

License

10446-16 Issued in WI

Practice address

1245 Main St
Green Bay, WI 54302-1306

Phone

(920) 965-0831

NPI assigned

Jun 10, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Katie Johnson Former name

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": "1307664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770768000000",
    "number": "1083909782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1245 MAIN ST",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543021306",
            "telephone_number": "920-965-0831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1245 MAIN ST",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543021306",
            "telephone_number": "920-965-0831"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "KATIE",
        "credential": "R.D.H.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-06-10",
        "last_updated": "2026-02-11",
        "certification_date": "2026-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "WI",
            "license": "10446-16",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATIE",
            "last_name": "JOHNSON",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Heather L Johnson, PA
• Heidi Jo Johnson, P.T.
• Jane Marie Johnson, PT
• Janet Marie Johnson, MD
• Joel M Johnson, M.D.
• Kenneth M Johnson, M.D.
• Lauren Johnson, MD
• Lynn M Johnson, CAPSW
• Mary Alice Johnson, CRNA
• Melissa B Johnson, APNP

• Dental Hygienist in Green Bay, WI
• Providers in Green Bay, WI by specialty
• Dental Hygienist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2026; 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.