Wesley E Johnson, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DE00010944 Issued in WA

Practice address

101 N Harris Ave
Cle Elum, WA 98922-1119

Phone

(509) 674-5153

Fax

(509) 674-7354

NPI assigned

Jun 14, 2007

Last updated

Mar 26, 2019By the provider in NPPES

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

Medicare fee-for-service enrollment

Enrolled in WA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Wesley Johnson ,DDS,Inc.,PS

  dba Swiftwater Dental

  • Dental Clinic/Center
  • Cle Elum, WA
  • NPI 1144853094
  NPD (past) Authorized official
• Daniel H Chong DDS PS

  • Dentist
  • Federal Way, WA
  • NPI 1285982918
  NPD (past)
• Lorin Peterson DDS

  • Dental Clinic/Center
  • Cle Elum, WA
  • NPI 1841745247
  NPD (past)

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

{
    "created_epoch": "1181779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553558400000",
    "number": "1689878332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 580",
            "city": "CLE ELUM",
            "state": "WA",
            "postal_code": "989220580",
            "telephone_number": "425-281-4203",
            "fax_number": "509-674-7354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 N HARRIS AVE",
            "city": "CLE ELUM",
            "state": "WA",
            "postal_code": "989221119",
            "telephone_number": "509-674-5153",
            "fax_number": "509-674-7354"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3216 NE 45th Pl Ste 213",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "981054028",
            "country_code": "US",
            "telephone_number": "206-522-0466",
            "fax_number": "206-522-0492",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "WESLEY",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-14",
        "last_updated": "2019-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "DE00010944",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cynthia K Gregory
• Richard S. Grillo Jr., PHARMACIST
• Sarah Mariah Heniges
• Susan Kay Hovda I, MASSAGE THERAPIST
• Julienne Jobin
• Kittitas County Hospital Dist 2
• Kittitas County Public Hospital Dist 1 (KVH Family Medicine - Cle Elum)
• Koinonia Christian Camp and Retreat Center
• Erin M Krekling, PT
• Emily Kuta, RPH

• General Practice Dentistry in Cle Elum, WA
• Providers in Cle Elum, 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 Mar 26, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.