Mark D. Johnson D.D.S., P.S.

Primary specialty

DentistTaxonomy code 122300000X

License

DE00005841 Issued in WA

Legal business name

MARK D. JOHNSON D.D.S., P.S.

Practice address

6927 Lakewood Dr W Ste C2
Tacoma, WA 98467-3247

Phone

(253) 565-1695

Fax

(253) 565-1588

NPI assigned

Jun 3, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Mark Douglas Johnson, DDS

Title

Dentist

Phone

(253) 565-1695

Specialties & licenses 2

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Suk Whan Hong, DDS

  • Dentist
  • Tacoma, WA
  • NPI 1780705038
  NPD (past)

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

{
    "created_epoch": "1243987200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1243987200000",
    "number": "1801022934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6927 LAKEWOOD DR W STE C2",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984673247",
            "telephone_number": "253-565-1695",
            "fax_number": "253-565-1588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6927 LAKEWOOD DR W STE C2",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984673247",
            "telephone_number": "253-565-1695",
            "fax_number": "253-565-1588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK D. JOHNSON D.D.S., P.S.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-03",
        "last_updated": "2009-06-03",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "DOUGLAS",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "253-565-1695",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "WA",
            "license": "DE00005841",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "WA",
            "license": "DE60096175",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Marino, M.D.
• Rick J. Marino, M.D.
• Willa Alise Marinov, RN
• Maritime Physical Therapy
• Mark a. Sundberg, DDS, PLLC
• Mark L Webb DC
• Marked Tree Dialysis
• David Tristan Markel, M.D.
• Matthew Joel Dion Markley
• Linda Joy Markowitz Gilbert, RN, BSN

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2009; 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.