Richard Ivar Johnson, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DE00003576 Issued in WA

Practice address

2032 Colby Ave
Everett, WA 98201-2234

Phone

(425) 258-1764

Fax

(425) 258-8073

NPI assigned

Mar 20, 2007

Sex

Male

Sole proprietor

Yes

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

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Kim Trieu, DDS, PLLC

  • Dental Clinic/Center
  • Everett, WA
  • NPI 1336772698
  NPD (past)

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1588789358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2032 COLBY AVE",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982012234",
            "telephone_number": "425-258-1764",
            "fax_number": "425-258-8073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2032 COLBY AVE",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982012234",
            "telephone_number": "425-258-1764",
            "fax_number": "425-258-8073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "RICHARD",
        "middle_name": "IVAR",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "DE00003576",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Megan Ellen Johnson, DPT
• Michael Clark Johnson, DDS
• Morris G. Johnson, MD
• Nanci V. Johnson, LICSW
• Rhonda Marie Johnson, LPN
• Sarah Jane Johnson, M.ED.
• Shirley J Johnson, CNA, RC
• Taylor Rae Johnson
• Timothy Le'Roy Johnson, REGISTERED COUNSELOR
• William Roger Johnson, PHARMD

• General Practice Dentistry in Everett, WA
• Providers in Everett, WA by specialty
• General Practice Dentistry in Washington

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.