Michael Ryan Jorgenson, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

DE00010175 Issued in WA

Practice address

509 Olive Way Ste 1149
Seattle, WA 98101-1724

Phone

(206) 682-3888

Fax

(206) 682-1694

NPI assigned

Nov 24, 2008

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: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

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.

• Robert E Johnson DDS PS

  • General Practice Dentistry
  • Seattle, WA
  • NPI 1871713180
  NPD (past)

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

{
    "created_epoch": "1227484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1227484800000",
    "number": "1952556565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "509 OLIVE WAY STE 1149",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981011724",
            "telephone_number": "206-682-3888",
            "fax_number": "206-382-1694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "509 OLIVE WAY STE 1149",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981011724",
            "telephone_number": "206-682-3888",
            "fax_number": "206-682-1694"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JORGENSON",
        "first_name": "MICHAEL",
        "middle_name": "RYAN",
        "name_prefix": "Mr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-11-24",
        "last_updated": "2008-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WA",
            "license": "DE00010175",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Soledad Jorge, M.D.
• Jon Jorgensen, LMP
• Kyle Jorgensen
• Rachael Nicole Lenz Jorgensen, PA-C
• Quinsey Cheri Jorgenson-Delacruz
• Douglas B. Jose, LMP
• Norlyn Gonzales Josef
• Joseph Doumit, MD, PLLC
• Joseph M McCreery MD PLLC
• Andre C Joseph Jr., MD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2008; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.