Juanita Lee Johnson, RDH

Primary specialty

Dental HygienistTaxonomy code 124Q00000X

License

DH00002159 Issued in WA

Practice address

22831 26TH Ave S
Des Moines, WA 98198-7115

Phone

(206) 250-1784

Fax

(206) 878-0813

NPI assigned

Aug 16, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Miss Juanita Lee Costello Former name

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": "1345075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1345075200000",
    "number": "1821346206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3894",
            "city": "KENT",
            "state": "WA",
            "postal_code": "980890394",
            "telephone_number": "206-250-1784",
            "fax_number": "206-878-0813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22831 26TH AVE S",
            "city": "DES MOINES",
            "state": "WA",
            "postal_code": "981987115",
            "telephone_number": "206-250-1784",
            "fax_number": "206-878-0813"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "JUANITA",
        "middle_name": "LEE",
        "name_prefix": "Mrs.",
        "credential": "RDH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-16",
        "last_updated": "2012-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "WA",
            "license": "DH00002159",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JUANITA",
            "last_name": "COSTELLO",
            "middle_name": "LEE",
            "prefix": "MISS",
            "credential": "RDH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jesus Iniguez, MD
• John Thomas Jackson, LMP
• Michele D Jackson, D.P.T.
• Janis Ann Jacobson, L.M.P.
• Dena Rene Johnson, LMHC
• Magdalena Johnson, MSW
• Melissa Ann Gaytan Johnson, LMHCA CN
• Bailey Johnston
• Emily Elizabeth Jones, MD
• Aroura Rose Jordan

• Dental Hygienist in Des Moines, WA
• Providers in Des Moines, WA by specialty
• Dental Hygienist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2012; 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.