Christine Johnson, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DE00006322 Issued in WA

Practice address

825 Murdock St
Sedro Woolley, WA 98284-1451

Phone

(360) 855-1689

NPI assigned

Feb 5, 2007

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 identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Christine Johnson, D.D.S.

  • General Practice Dentistry
  • Sedro Woolley, WA
  • NPI 1518006949
  NPD (past) Authorized official
• Justin H Yeates DDS PLLC

  • Dentist
  • Sedro Woolley, WA
  • NPI 1639457468
  NPD (past)

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

{
    "created_epoch": "1170633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1164561585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "825 MURDOCK ST",
            "city": "SEDRO WOOLLEY",
            "state": "WA",
            "postal_code": "982841451",
            "telephone_number": "360-855-1689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 MURDOCK ST",
            "city": "SEDRO WOOLLEY",
            "state": "WA",
            "postal_code": "982841451",
            "telephone_number": "360-855-1689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "CHRISTINE",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "DE00006322",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DSHS",
            "identifier": "5027628",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Samantha Jo John
• Tiffany L. Johns, PA-C
• Kylee Nicole Johnson Harper
• Allen L. Johnson, MD
• Anna May Loraine Johnson, BC-HIS
• Courtney Johnson
• Sally A Johnson, RN
• Sarah Johnson
• Brian Eugene Johnston
• Boyd Kenneth Jordan, P.T.

• General Practice Dentistry in Sedro Woolley, WA
• Providers in Sedro Woolley, WA by specialty
• General Practice Dentistry in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.