Active NPI
Melanie Johnson, R.D.H.
- Dental Hygienist
- Vancouver, WA
National Provider Identifier
1508275231
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- DH00004432
- Practice address
- 14300 NE 20TH Ave
D 102-265
Vancouver, WA 98686-6420 - Phone
- (360) 576-6354
- NPI assigned
- Aug 6, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | DH00004432 | WA | Primary |
| Dental Hygienist | 124Q00000X | H2590 | OR |
Addresses
Primary practice location
14300 NE 20TH Ave
D 102-265
Vancouver, WA 98686-6420
Mailing address
14300 NE 20TH Ave
D 102-265
Vancouver, WA 98686-6420
Phone (360) 576-6354
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| H2590 | OR | MD | Dental Hygienist |
| DH00004432 | WA | MD | Dental Hygienist |
Interoperability endpoints
- melanie.johnson.p3@direct.hpc.nextgenshare.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1407283200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1407283200000",
"number": "1508275231",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14300 NE 20TH AVE",
"address_2": "D 102-265",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986866420",
"telephone_number": "360-576-6354"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14300 NE 20TH AVE",
"address_2": "D 102-265",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986866420",
"telephone_number": "360-576-6354"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "MELANIE",
"credential": "R.D.H.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-08-06",
"last_updated": "2014-08-06",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "WA",
"license": "DH00004432",
"primary": true
},
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "OR",
"license": "H2590",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Vancouver, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.