NPIMap

Organization Active NPI

Edwards, Johnson, Johnson & Johnson D.D.S., P.L.L.C.

Doing business as Pacific Northwest Oral & Maxillofacial Surgeons

  • Oral and Maxillofacial Surgery (Dentist)
  • Renton, WA
National Provider Identifier
1255803904
Registry record updated Dec 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
Legal business name
EDWARDS, JOHNSON, JOHNSON & JOHNSON D.D.S., P.L.L.C.
Doing business as
Pacific Northwest Oral & Maxillofacial Surgeons
Practice address
601 S Carr Rd Ste 300
Renton, WA 98055-5840
Phone
(425) 277-1844
NPI assigned
Dec 19, 2018
Last updated
Dec 19, 2018By the provider in NPPES
Organization subpart
Yes
Parent organization
EDWARDS & JOHNSON D.D.S., P.L.L.C.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 19, 2018

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

Authorized official

Name
Dr. Ben Johnson, DMD
Title
Partner
Phone
(425) 277-1844

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist)Group: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223S0112X Primary

Addresses

Primary practice location

601 S Carr Rd Ste 300
Renton, WA 98055-5840

Mailing address

601 S Carr Rd Ste 300
Renton, WA 98055-5840

Other practice location 1

26808 Maple Valley Black Diamond Rd SE
Maple Valley, WA 98038-8309
Phone (425) 432-1511

Other practice location 2

309 2nd St SE
Auburn, WA 98002-5543
Phone (253) 929-8711

Other practice location 3

2345 SW 320th St
Federal Way, WA 98023-2568
Phone (253) 838-2133

Other names 1

  • PACIFIC NORTHWEST ORAL & MAXILLOFACIAL SURGEONS Doing business as

National Provider Directory

National Provider Directory

Locations

26808 Black Diamond Rd SE
Maple Valley, WA 98038
Phone (425) 432-1511

601 S Carr Rd
Ste 300
Renton, WA 98055
Phone (253) 242-7237

Practitioners & affiliated clinicians

Practitioners 6

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": "1545177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1545177600000",
    "number": "1255803904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 S CARR RD STE 300",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980555840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 S CARR RD STE 300",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980555840",
            "telephone_number": "425-277-1844"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "26808 Maple Valley Black Diamond Rd SE",
            "address_purpose": "LOCATION",
            "city": "Maple Valley",
            "state": "WA",
            "postal_code": "980388309",
            "country_code": "US",
            "telephone_number": "425-432-1511",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "309 2nd St SE",
            "address_purpose": "LOCATION",
            "city": "Auburn",
            "state": "WA",
            "postal_code": "980025543",
            "country_code": "US",
            "telephone_number": "253-929-8711",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2345 SW 320th St",
            "address_purpose": "LOCATION",
            "city": "Federal Way",
            "state": "WA",
            "postal_code": "980232568",
            "country_code": "US",
            "telephone_number": "253-838-2133",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "EDWARDS, JOHNSON, JOHNSON & JOHNSON D.D.S., P.L.L.C.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "EDWARDS & JOHNSON D.D.S., P.L.L.C.",
        "enumeration_date": "2018-12-19",
        "last_updated": "2018-12-19",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "BEN",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "425-277-1844",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PACIFIC NORTHWEST ORAL & MAXILLOFACIAL SURGEONS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Renton, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2018; 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.