NPIMap

Organization Active NPI

Wesley Johnson ,DDS,Inc.,PS

Doing business as Swiftwater Dental

  • Dental Clinic/Center
  • Cle Elum, WA
National Provider Identifier
1144853094
Registry record updated Feb 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
WESLEY JOHNSON ,DDS,INC.,PS
Doing business as
Swiftwater Dental
Practice address
101 N Harris Ave
Cle Elum, WA 98922-1119
Phone
(509) 674-5153
Fax
(509) 674-7354
NPI assigned
Feb 19, 2020
Last updated
Feb 19, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2020

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

Authorized official

Name
Dr. Wesley E Johnson, DDSNPI 1689878332
Title
Owner/Dentist
Phone
(509) 674-5153

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X NU Primary

Addresses

Primary practice location

101 N Harris Ave
Cle Elum, WA 98922-1119

Mailing address

PO Box 580
Cle Elum, WA 98922-0580
Phone (509) 674-5153

Other names 1

  • Swiftwater Dental Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1582070400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1582070400000",
    "number": "1144853094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 580",
            "city": "CLE ELUM",
            "state": "WA",
            "postal_code": "989220580",
            "telephone_number": "509-674-5153",
            "fax_number": "509-674-7354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 N HARRIS AVE",
            "city": "CLE ELUM",
            "state": "WA",
            "postal_code": "989221119",
            "telephone_number": "509-674-5153",
            "fax_number": "509-674-7354"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESLEY JOHNSON ,DDS,INC.,PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-19",
        "last_updated": "2020-02-19",
        "certification_date": "2020-02-19",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "WESLEY",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "509-674-5153",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Swiftwater Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cle Elum, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2020; 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.