Glen Howard Johnson, DDS, MS

Primary specialty

DentistTaxonomy code 122300000X

License

5146 Issued in WA

Practice address

University of Washington School of Dentistry
Restorative Dentistry Box 357456
Seattle, WA 98195-0001

Phone

(206) 543-5948

Fax

(206) 543-7783

NPI assigned

Aug 7, 2012

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

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1344297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1344297600000",
    "number": "1124375423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "BOX 357456, DEPARTMENT OF RESTORATIVE DENTISTRY",
            "address_2": "UNIVERSITY OF WASHINGTON",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981957456",
            "telephone_number": "206-543-5948",
            "fax_number": "206-543-7783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "UNIVERSITY OF WASHINGTON SCHOOL OF DENTISTRY",
            "address_2": "RESTORATIVE DENTISTRY BOX 357456",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981950001",
            "telephone_number": "206-543-5948",
            "fax_number": "206-543-7783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "GLEN",
        "middle_name": "HOWARD",
        "name_prefix": "Dr.",
        "credential": "DDS, MS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-08-07",
        "last_updated": "2012-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WA",
            "license": "5146",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Felicia Joye Johnson
• Fritzina Fay Johnson, CPCAAC
• G Theodore Johnson, MD
• Gail Johnson, ARNP
• Gessica R Johnson, OTRL
• Gretchen Kristine Johnson, M.D.
• Guy E Johnson
• Gwen E Johnson, MA, ATC
• Haiden Johnson
• Haleigh Johnson, SLP-CFY

• Dentist in Seattle, WA
• Providers in Seattle, WA by specialty
• Dentist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2012; 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.