Dexter E Johnson

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

5197 NW Lower River Rd BLDG a
Vancouver, WA 98660-1013

Phone

(360) 205-1222

NPI assigned

Dec 30, 2024

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

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

{
    "created_epoch": "1735516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735516800000",
    "number": "1710795356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3059 SE ALDER ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972142593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5197 NW LOWER RIVER RD BLDG A",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986601013",
            "telephone_number": "360-205-1222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "DEXTER",
        "middle_name": "E",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-12-30",
        "last_updated": "2024-12-30",
        "certification_date": "2024-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Johnson
• David Alan Johnson, MD
• David Isaac Johnson, D.C.
• Deanna Victoria Johnson, LMP
• Debra Faith Johnson
• Douglas R Johnson, DO
• Glenn Darrell Johnson
• Jamie Johnson, PSYD
• Jessica Johnson
• Jill A Johnson, LMP

• All providers in Vancouver, WA
• Behavior Technician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2024; 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.