Raymond John Johansen, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

32966 Issued in CA

Practice address

601 E Arrellaga St Ste 202
Santa Barbara, CA 93103-4235

Phone

(805) 962-6058

NPI assigned

Sep 20, 2006

Last updated

Jul 8, 2007By the provider in NPPES

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

Eligible to order & refer

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

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1427156959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 E ARRELLAGA ST STE 202",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931034235",
            "telephone_number": "805-962-6058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 E ARRELLAGA ST STE 202",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931034235",
            "telephone_number": "805-962-6058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHANSEN",
        "first_name": "RAYMOND",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "32966",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jodi House Inc (Jodi House)
• Marit Julie Joergensen
• Brooke Helene Johannessen
• Johansen Chiropractic Inc.
• Lukas Mejer Johansen, DC
• John D McCaffery M.D. Inc (ENT Associates of Santa Barbara)
• John Krochmal O.D. Inc.
• John L Milhoan and Virginia G Milhoan (Milhoan Chiropractic Office)
• John L. Milhoan & Virginia G Milhoan (Milhoan Chiropractic Office)
• John M. Deacon, M.D., Inc.

• General Practice Dentistry in Santa Barbara, CA
• Providers in Santa Barbara, CA by specialty
• General Practice Dentistry in California

• 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.
• 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.