Ryan D Johnson

Primary specialty

DenturistTaxonomy code 122400000X

License

DN00000466 Issued in WA

Practice address

1225 Meade Ave
Prosser, WA 99350-1423

Phone

(509) 307-3217

NPI assigned

Sep 17, 2007

Last updated

Sep 17, 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

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1189987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1189987200000",
    "number": "1467648105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1225 MEADE AVE",
            "city": "PROSSER",
            "state": "WA",
            "postal_code": "993501423",
            "telephone_number": "509-307-3217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1225 MEADE AVE",
            "city": "PROSSER",
            "state": "WA",
            "postal_code": "993501423",
            "telephone_number": "509-307-3217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "RYAN",
        "middle_name": "D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-09-17",
        "last_updated": "2007-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122400000X",
            "taxonomy_group": "",
            "desc": "Denturist",
            "state": "WA",
            "license": "DN00000466",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Geoffrey B Higgs, MD
• Cameron Rose Holt Sample
• Tracy L Humphreys, L.M.P.
• Stephanie I Ingvalson, PT, DPT
• Claire Jaramillo
• Miechelle Keel-Fulton, PA-C
• Ashley Mariah Kenney, MOT, OTR/L
• Linda Whitney Kirk, R.N.
• Kiranmayi Korimerla, MD
• Ashley Kristofzski

• Denturist in Prosser, WA
• Providers in Prosser, WA by specialty
• Denturist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 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.