Kyle Patrick Johnstone, RDH

Primary specialty

Dental HygienistTaxonomy code 124Q00000X

License

H6133 Issued in OR

Practice address

110 Beavercreek Rd Ste 100
Oregon City, OR 97045-4307

Phone

(503) 722-6313

Fax

(503) 655-8595

NPI assigned

Sep 16, 2011

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1316131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572912000000",
    "number": "1801178744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2051 KAEN RD STE 367",
            "city": "OREGON CITY",
            "state": "OR",
            "postal_code": "970454035",
            "telephone_number": "503-742-5300",
            "fax_number": "503-742-5979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 BEAVERCREEK RD STE 100",
            "city": "OREGON CITY",
            "state": "OR",
            "postal_code": "970454307",
            "telephone_number": "503-722-6313",
            "fax_number": "503-655-8595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSTONE",
        "first_name": "KYLE",
        "middle_name": "PATRICK",
        "name_prefix": "Mr.",
        "credential": "RDH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-09-16",
        "last_updated": "2019-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "OR",
            "license": "H6133",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500684640",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jordan Johnson, MD
• Kaitlyn Johnson, LMT
• Kevin Raymond Johnson I, M.D.
• La'Kim Denise Johnson
• William Russell Johnson Jr.
• Andrea Rachelle Jones
• Dana M Jones, PMHNP-BC
• Jereme Jacob Jones, CONSULTING
• Kia Jones
• Vicki Lynn Jones

• Dental Hygienist in Oregon City, OR
• Providers in Oregon City, OR by specialty
• Dental Hygienist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2019; 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.