Eli K Johnson, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2242 Issued in MT

Practice address

215 N 10TH St
Suite a
Hamilton, MT 59840-2389

Phone

(406) 363-2421

Fax

(406) 363-4541

NPI assigned

Jul 11, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MT

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1184112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529107200000",
    "number": "1154529121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 N 10TH ST",
            "address_2": "SUITE A",
            "city": "HAMILTON",
            "state": "MT",
            "postal_code": "598402389",
            "telephone_number": "406-363-2421",
            "fax_number": "406-363-4541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 N 10TH ST",
            "address_2": "SUITE A",
            "city": "HAMILTON",
            "state": "MT",
            "postal_code": "598402389",
            "telephone_number": "406-363-2421",
            "fax_number": "406-363-4541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "ELI",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-11",
        "last_updated": "2018-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MT",
            "license": "2242",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MT",
            "license": "2242",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Allisun Garland Jensen, PA-C
• Emily M Jessop-Allred
• Crystallee Jessop
• Melissa Dawn Jessop, DPT
• Martha Judith Jimenez, APRN, RN
• Karen Jean Johnson
• Rose M Johnson, M.S., CCC/SLP
• Jessica Beth Johnston, PT, DPT
• Kristin Rene Joiner, LMT,NMT
• Allen W Jones Jr., M.D.

• General Practice Dentistry in Hamilton, MT
• Providers in Hamilton, MT by specialty
• General Practice Dentistry in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.