Jerrold Stuart Johnson, DDS, MS

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

DE00009912 Issued in WA

Practice address

3511 Bucklin Hill Rd. NW
Silverdale, WA 98383

Phone

(360) 337-2020

Fax

(360) 337-2021

NPI assigned

Nov 23, 2009

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

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.

• Naumann Johnson Orthodontics PLLC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Silverdale, WA
  • NPI 1063599702
  NPD (past)

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

{
    "created_epoch": "1258934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1258934400000",
    "number": "1174851596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3511 NW BUCKLIN HILL ROAD",
            "city": "SILVERDALE",
            "state": "WA",
            "postal_code": "98383",
            "telephone_number": "360-337-2020",
            "fax_number": "360-337-2021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3511 BUCKLIN HILL RD. NW",
            "city": "SILVERDALE",
            "state": "WA",
            "postal_code": "98383",
            "telephone_number": "360-337-2020",
            "fax_number": "360-337-2021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "JERROLD",
        "middle_name": "STUART",
        "name_prefix": "Dr.",
        "credential": "DDS, MS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-11-23",
        "last_updated": "2009-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "WA",
            "license": "DE00009912",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Veiga, MD PLLC
• Shelly Lee Johnson-Choong, MSW
• Caytlin-Colleen Danielle-Elizabeth Johnson
• Heidi Lee Johnson, LMP
• Jameson Johnson
• Nailah Johnson
• Nicholas Paul Johnson, DNP, ARNP
• Theodore Eugene Johnsrude, M.D.
• Mickaila J Johnston, M.D.
• Chelsea K Jones, MD

• Orthodontics and Dentofacial Orthopedics Dentistry in Silverdale, WA
• Providers in Silverdale, WA by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2009; 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.