Destyne Faeth Johnson, RDH

Primary specialty

Dental HygienistTaxonomy code 124Q00000X

License

H8315 Issued in OR

Practice address

3000 Market St NE Ste 228
Salem, OR 97301-1803

Phone

(800) 525-6800

NPI assigned

Sep 24, 2021

Sex

Female

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

State licenses

Interoperability endpoints

• Direct secure messaging: destyne.johnson@377425910366212.direct.elationemr.com

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

{
    "created_epoch": "1632441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632441600000",
    "number": "1871264234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29540 SW COURTSIDE DR APT 9",
            "city": "WILSONVILLE",
            "state": "OR",
            "postal_code": "970705436",
            "telephone_number": "503-507-7083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 MARKET ST NE STE 228",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973011803",
            "telephone_number": "800-525-6800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "DESTYNE",
        "middle_name": "FAETH",
        "credential": "RDH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-09-24",
        "last_updated": "2021-09-24",
        "certification_date": "2021-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "OR",
            "license": "H8315",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Damion Johnson
• Darryl Johnson, R.PH.
• David M Johnson
• Deborah M Johnson, MD
• Dennis Douglas Johnson, D.M.D.
• Elizabeth Susan Johnson, CADC II
• Geneva M. Johnson
• James V. Johnson
• Jennifer Johnson
• Joa Johnson, LMT

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2021; 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.