Organization Active NPI

Johnson and McDonald, PLLC

Doing business as Central Washington Oral and Facial Surgery

  • Oral and Maxillofacial Surgery (Dentist)
  • Wenatchee, WA
National Provider Identifier
1639673510
Registry record updated Jun 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
DE60337452 Issued in WA
Legal business name
JOHNSON AND MCDONALD, PLLC
Doing business as
Central Washington Oral and Facial Surgery
Practice address
304 N Chelan Ave
Wenatchee, WA 98801-2107
Phone
(509) 663-0068
Fax
(509) 663-0060
NPI assigned
Mar 23, 2018
Last updated
Jun 16, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2018

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

Authorized official

Name
Ms. Elizabeth Kaye Patterson
Title
Office Manager
Phone
(509) 663-0068

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X DE60337452 WA Primary

Addresses

Primary practice location

304 N Chelan Ave
Wenatchee, WA 98801-2107

Mailing address

304 N Chelan Ave
Wenatchee, WA 98801-2107
Phone (509) 663-0068

Other practice location 1

1001 W Broadway Ave
Moses Lake, WA 98837-2604
Phone (509) 663-0068

Other names 2

  • Central Washington Oral and Facial Surgery Doing business as
  • Wenatchee Valley Oral and Facial Surgery Former legal business name

National Provider Directory

National Provider Directory

Locations

109 N Pine St
Unit E
Ellensburg, WA 98926
Phone (509) 663-0068

301 N Chelan Ave
Wenatchee, WA 98801

301 N Chelan Ave
Unit E
Wenatchee, WA 98801
Phone (509) 663-0733

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1521763200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529107200000",
    "number": "1639673510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "304 N CHELAN AVE",
            "city": "WENATCHEE",
            "state": "WA",
            "postal_code": "988012107",
            "telephone_number": "509-663-0068",
            "fax_number": "509-663-0060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 N CHELAN AVE",
            "city": "WENATCHEE",
            "state": "WA",
            "postal_code": "988012107",
            "telephone_number": "509-663-0068",
            "fax_number": "509-663-0060"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1001 W Broadway Ave",
            "address_purpose": "LOCATION",
            "city": "Moses Lake",
            "state": "WA",
            "postal_code": "988372604",
            "country_code": "US",
            "telephone_number": "509-663-0068",
            "fax_number": "509-663-0060",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "JOHNSON AND MCDONALD, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-23",
        "last_updated": "2018-06-16",
        "status": "A",
        "authorized_official_last_name": "PATTERSON",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "KAYE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "509-663-0068",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "WA",
            "license": "DE60337452",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Central Washington Oral and Facial Surgery",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Wenatchee Valley Oral and Facial Surgery",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Wenatchee, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; 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.