James Eric Johnson, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

DE00008188 Issued in WA

Practice address

1233 Cole Street
Enumclaw, WA 98022-2602

Phone

(360) 825-5527

Fax

(360) 802-2563

NPI assigned

Oct 11, 2006

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

Other identifiers 2

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.

• James E Johnson DDS PS

  • Dentist
  • Enumclaw, WA
  • NPI 1699126292
  NPD (past)
• Sean Monaghan DMD PLLC

  • Dental Clinic/Center
  • Enumclaw, WA
  • NPI 1346903465
  NPD (past)

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1324598400000",
    "number": "1639267677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1233 COLE ST",
            "city": "ENUMCLAW",
            "state": "WA",
            "postal_code": "980222602",
            "telephone_number": "360-825-5527",
            "fax_number": "360-802-2563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1233 COLE STREET",
            "city": "ENUMCLAW",
            "state": "WA",
            "postal_code": "980222602",
            "telephone_number": "360-825-5527",
            "fax_number": "360-802-2563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "JAMES",
        "middle_name": "ERIC",
        "name_prefix": "Mr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-11",
        "last_updated": "2011-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WA",
            "license": "DE00008188",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5037064",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTAL SERVICE DELTA",
            "identifier": "8188",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ellie Nicole Humble, SUDPT
• Linda C Ingham, MA
• David Scott Israel, RPH
• James E Johnson DDS PS
• Janet Gay Kurz
• Janene Ruth Johnson, PTA
• Anthony Carroll Jordan, PA-S
• Roberta Jowell, LPN
• Michael A Kay, DDS
• Gouhar Yusuof Khan, M.D.

• Dentist in Enumclaw, WA
• Providers in Enumclaw, WA by specialty
• Dentist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2011; 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.