Organization Active NPI

Johnson Van Gemert, PLLC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Spokane, WA
National Provider Identifier
1598225161
Registry record updated Mar 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
Legal business name
JOHNSON VAN GEMERT, PLLC
Practice address
520 S Cowley St
Spokane, WA 99202-1315
Phone
(509) 688-0688
Fax
(509) 340-8939
NPI assigned
Mar 20, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2019

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

Authorized official

Name
Dr. Lauren Van Gemert, DDS, MS
Title
Partner
Phone
(734) 770-9029

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X Primary

Addresses

Primary practice location

520 S Cowley St
Spokane, WA 99202-1315

Mailing address

4015 S Morrill St
Spokane, WA 99223-1282
Phone (734) 770-9029

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1553040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1553040000000",
    "number": "1598225161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4015 S MORRILL ST",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992231282",
            "telephone_number": "734-770-9029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 S COWLEY ST",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992021315",
            "telephone_number": "509-688-0688",
            "fax_number": "509-340-8939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHNSON VAN GEMERT, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-20",
        "last_updated": "2019-03-20",
        "status": "A",
        "authorized_official_last_name": "VAN GEMERT",
        "authorized_official_first_name": "LAUREN",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "734-770-9029",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS, MS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spokane, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2019; 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.