Robert Edward Johnson III, DMD, MD

Primary specialty

Oral & Maxillofacial Surgery (D.M.D.)Taxonomy code 204E00000X

License

DE60978946 Issued in WA

Practice address

5726 Lake Washington Blvd NE Ste S2
Kirkland, WA 98033-7398

Phone

(425) 284-0515

NPI assigned

Mar 21, 2018

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Stevie Ames Roberts, DMD, PLLC

  • Dental Clinic/Center
  • Kirkland, WA
  • NPI 1710647714
  NPD
• Katherine McKinney DDS PS

  • General Practice Dentistry
  • Kirkland, WA
  • NPI 1093823510
  NPD (past)

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

{
    "created_epoch": "1521590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761004800000",
    "number": "1154825503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5726 LAKE WASHINGTON BLVD NE STE S2",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980337398",
            "telephone_number": "425-284-0515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5726 LAKE WASHINGTON BLVD NE STE S2",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980337398",
            "telephone_number": "425-284-0515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "ROBERT",
        "middle_name": "EDWARD",
        "name_suffix": "III",
        "credential": "DMD, MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-03-21",
        "last_updated": "2025-10-21",
        "certification_date": "2025-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204E00000X",
            "taxonomy_group": "",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "WA",
            "license": "DE60978946",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Madeline Mae Johnson
• Marion C Johnson, M.D.
• Michael Johnson
• Miriam D Johnson, MD
• Nicholas Scott Johnson, D.C.
• Shana L Johnson, CNM
• Tatyana Johnson, L.A.C
• Guoli Johnston, MD
• Sarah Patrice Johnston
• Thomas John Johnston, M.ED., LMP, LMHC

• Oral & Maxillofacial Surgery (D.M.D.) in Kirkland, WA
• Providers in Kirkland, WA by specialty
• Oral & Maxillofacial Surgery (D.M.D.) in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2025; 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.