Kristopher Allan Johnson, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DE00006286 Issued in WA

Practice address

4407 106TH St SW
Suite a
Mukilteo, WA 98275-4750

Phone

(425) 348-8484

Fax

(425) 348-6419

NPI assigned

May 13, 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Dec 1, 2015 through Dec 1, 2027

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 and National Provider Directory roles.

• Harbour Pointe Family Dentistry

  • Dental Clinic/Center
  • Mukilteo, WA
  • NPI 1225481682
  NPD (past) Authorized official

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

{
    "created_epoch": "1147478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1790736825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4407 106TH ST SW",
            "address_2": "SUITE A",
            "city": "MUKILTEO",
            "state": "WA",
            "postal_code": "982754750",
            "telephone_number": "425-348-8484",
            "fax_number": "425-348-6419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4407 106TH ST SW",
            "address_2": "SUITE A",
            "city": "MUKILTEO",
            "state": "WA",
            "postal_code": "982754750",
            "telephone_number": "425-348-8484",
            "fax_number": "425-348-6419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "KRISTOPHER",
        "middle_name": "ALLAN",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-13",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "DE00006286",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• JD Endodontics LLC
• Jennifer Voke, D.D.S., PLLC
• Jennifer Voke, DDS
• Cheng Jiang, ARNP
• Heidi Rene Johnson, D.D.S.
• Jeneeca Christina Johnston, DO
• Bernard Scott Jones, D.C.
• Griffith Jones, DMSC, PA-C
• Michael Anthony Jones Jr.
• Alexandra Jordan, PT, DPT

• General Practice Dentistry in Mukilteo, WA
• Providers in Mukilteo, 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 Jul 13, 2026; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.