Organization Active NPI

Dorothy Laura Johnson

  • Non-Pharmacy Dispensing Site
  • Bellevue, WA
National Provider Identifier
1528467289
Registry record updated Aug 19, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-Pharmacy Dispensing SiteTaxonomy code 332900000X
License
NT00000639 Issued in WA
Legal business name
DOROTHY LAURA JOHNSON
Doing business as
Accident Injury Rehab Clinic
Practice address
5611 119TH Ave SE
Suite 4
Bellevue, WA 98006-3799
Phone
(425) 562-9355
NPI assigned
Aug 19, 2014
Organization subpart
Yes
Parent organization
DOROTHY LAURA JOHNSONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 19, 2014

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

Authorized official

Name
Dorothy L. Johnson, N.D.
Title
Owner
Phone
(425) 562-9355

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-Pharmacy Dispensing Site 332900000X NT00000639 WA Primary

Addresses

Primary practice location

5611 119TH Ave SE
Suite 4
Bellevue, WA 98006-3799

Mailing address

2980 N Beverly Glen Cir
Suite # 301
Los Angeles, CA 90077-1726
Phone (310) 943-4180

Other names 1

  • Accident Injury Rehab Clinic Doing business as

National Provider Directory

National Provider Directory
Part of
Dorothy Laura Johnson

Locations

5611 119th Ave SE
Ste 4
Bellevue, WA 98006
Phone (425) 562-9355

NPI Registry JSON

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

{
    "created_epoch": "1408406400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1408406400000",
    "number": "1528467289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2980 N BEVERLY GLEN CIR",
            "address_2": "SUITE # 301",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900771726",
            "telephone_number": "310-943-4180",
            "fax_number": "888-431-8819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5611 119TH AVE SE",
            "address_2": "SUITE 4",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980063799",
            "telephone_number": "425-562-9355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOROTHY LAURA JOHNSON",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DOROTHY LAURA JOHNSON",
        "enumeration_date": "2014-08-19",
        "last_updated": "2014-08-19",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "DOROTHY",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "425-562-9355",
        "authorized_official_credential": "N.D."
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": "WA",
            "license": "NT00000639",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Accident Injury Rehab Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bellevue, WA

Sources for this page

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

Verify at the official NPI Registry.