DR. BRUCE ROY JOHNSON (NPI# 1629011069) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629011069 |
| Entity Type | Individual |
| Full Name | DR. BRUCE ROY JOHNSON |
| Credential | DDS |
| Practice Address |
2209 E 32nd St Tacoma WA 98404-4922 |
| Mailing Address |
17308 97th Avenue Ct E Puyallup WA 98375-9682 |
| Practice Telephone | 2535930232 |
| Mailing Telephone | 2538405462 |
| Enumeration Date | 2006-06-14 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223D0001X |
Dentist Specialization: Dental Public Health |
DE00006627 | WA | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | KITSAP PHYSICIAN SERVICE | 91111635510 | 01 |
| WA | REGENCE | JO6014 | 01 |
| WA | LABOR & INDUSTRIES | 0149889 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902452329 | Bruce Johnson | Technician | 1720 R St Se, Washington, DC 20020-4763 | 2019-08-12 |
| 1215304738 | Bruce A. Johnson | Marriage & Family Therapist | 425 Coon Rapids Blvd., Coon Rapids, MN 55433 | 2015-09-01 |
| 1932398393 | Bruce David Johnson | Social Worker | 230 East Marydale, Suite 2, Soldotna, AK 99669-7648 | 2007-10-22 |
| 1447453097 | Bruce G Johnson | Anesthesiology | 800 E Cheves St Ste 480b, Florence, SC 29506-2650 | 2007-06-08 |
| 1366654899 | Bruce Gordon Johnson | Optometrist | 2610 South Douglas Highway, Suite 190, Gillette, WY 82718 | 2007-05-04 |
| 1104041813 | Bruce C. Johnson | Psychiatry & Neurology | 748 Se Fairwinds Loop, Vancouver, WA 98661-8087 | 2007-04-16 |
| 1114040011 | Bruce Hinton Johnson | Dentist | 7641 Shaffer Pkwy, Littleton, CO 80127-3013 | 2007-04-08 |
| 1013034933 | Bruce Lyman Johnson | Dentist | 716 Castle Heights Ct, Lebanon, TN 37087-2670 | 2007-03-24 |
| 1912043621 | Bruce Johnson | Internal Medicine | 800 W Biesterfield Road, Suite 4003, Elk Grove Village, IL 60007 | 2007-01-29 |
| 1366591687 | Bruce A Johnson | Dentist | 8 W Dry Creek Circle, Ste 200, Littleton, CO 80120 | 2007-01-09 |
| Street Address |
2209 E 32ND ST |
| City | TACOMA |
| State | WA |
| Zip Code | 98404-4922 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255378782 | Puyallup Tribal Health Authority | Clinic/Center | 2209 E 32nd St, Tacoma, WA 98404 | 2006-06-01 |
| 1063038206 | Laura Christine Fox | Family Medicine | 2209 E 32nd St, Tacoma, WA 98404-4922 | 2020-06-23 |
| 1538783618 | Yuina Satoh | Family Medicine | 2209 E 32nd St, Tacoma, WA 98404-4922 | 2020-06-03 |
| 1144882879 | Theodore C Weatherwax | Family Medicine | 2209 E 32nd St, Tacoma, WA 98404-4922 | 2019-07-02 |
| 1497315592 | Daniel Joseph O'bryan | Family Medicine | 2209 E 32nd St, Tacoma, WA 98404-4922 | 2019-06-19 |
| 1922664424 | Arielle Jacob | Family Medicine | 2209 E 32nd St, Tacoma, WA 98404-4922 | 2019-05-10 |
| 1154987683 | Nicholas Snow | Family Medicine | 2209 E 32nd St, Tacoma, WA 98404-4922 | 2019-05-09 |
| 1063900280 | Hilary Ann Baer | Family Medicine | 2209 E 32nd St, Tacoma, WA 98404 | 2018-04-24 |
| 1659868131 | Andrew Ma | Family Medicine | 2209 E 32nd St, Tacoma, WA 98404-4922 | 2018-04-19 |
| 1184111817 | Megan S. Aspelund | Family Medicine | 2209 E 32nd St, Tacoma, WA 98404 | 2018-04-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386169829 | Brianna Lee Brown | Nurse's Aide | 1020 South 76th Street, Tacoma, WA 98404 | 2017-08-05 |
| 1770981045 | Tra My Thi Nguyen | Pharmacist | 4614 E N St, Tacoma, WA 98404 | 2014-12-18 |
| 1720419161 | Amber Gilderoy | Massage Therapist | 1101 E 56th St, Tacoma, WA 98404 | 2013-12-11 |
| 1295083756 | Stacy Marie Klontz | Physical Therapy Assistant | 1649 East 72nd St., Tacoma, WA 98404 | 2012-08-15 |
| 1215239892 | Kimberly Ida Sterling | Dental Hygienist | 247 E. 68th St., Tacoma, WA 98404 | 2010-12-02 |
| 1982923926 | Emily C Parry | Occupational Therapy Assistant | 1649 East 72nd Street, Tacoma, WA 98404 | 2010-05-28 |
| 1427386465 | Carole Lynne Hopkins | Physical Therapist | 1649 East 72nd St, Tacoma, WA 98404 | 2009-12-03 |
| 1417016056 | Jennifer Anne Decoteau | Social Worker | 2209 East 32nd St, Tacoma, WA 98404 | 2006-12-08 |
| 1518032374 | Agnes Barbara Kocsis | Psychiatry & Neurology | 2209 E.32nd Str, Tacoma, WA 98404 | 2006-11-21 |
| 1912924366 | Marthe Butzen | Physician Assistant | 1708 E. 44th Street, Tacoma, WA 98404 | 2006-07-15 |
| Find all providers in zip 98404 | ||||
| Taxonomy Code | 1223D0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Dental Public Health |
| The science and art of preventing and controlling dental diseases and promoting dental health through organized community efforts. It is that form of dental practice that serves the community as a patient rather than the individual. It is concerned with the dental health education of the public, with applied dental research, and with the administration of group dental care programs as well as the prevention and control of dental diseases on a community basis. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700221462 | Nurani, Mitchell, Kim, PC | Dentist | 4545 S Union Ave, Tacoma, WA 98409-4532 | 2013-05-07 |
| 1528402815 | Todd Tovarek | Dentist | 1623 E J St, Tacoma, WA 98421-1602 | 2013-04-17 |
| 1831257021 | Sean Kelly | Dentist | 2209 E 32nd St, Tacoma, WA 98404-4922 | 2006-12-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962011015 | Perry Philemon Little IIi | Dentist | 503 N 4th St, Shelton, WA 98584 | 2020-07-24 |
| 1720586324 | David Combs | Dentist | West Coast Dental Services, Inc. 12121 Wilshire Blvd., Losangeles, WA 90025 | 2018-01-29 |
| 1982057923 | James C Hoppe Dds Pllc | Dentist | 3010 S Southeast Blvd Ste E, Spokane, WA 99223-3542 | 2016-07-14 |
| 1013352707 | Nurani, Mitchell, Kim, PC | Dentist | 1507 S. 348 Street Suite K2-102, Federal Way, WA 98003 | 2013-05-08 |
| 1821433400 | Nurani, Mitchell, Kim, PC | Dentist | 24040 Se Kent Kangley Rd Unit E200, Maple Valley, WA 98038-6934 | 2013-05-08 |
| 1588009252 | Nurani, Mitchell, Kim, PC | Dentist | 17740 Garden Way Ne, Woodinville, WA 98072-3572 | 2013-05-07 |
| 1699110486 | Nurani, Mitchell, Kim, PC | Dentist | 401 Ne Northgate Way # 570, Seattle, WA 98125-6036 | 2013-05-07 |
| 1902241664 | Nurani, Mitchell, Kim, PC | Dentist | 10404 Silverdale Way Nw # E109, Silverdale, WA 98383-9461 | 2013-05-07 |
| 1518302272 | Nurani, Mitchell, Kim, PC | Dentist | 16400 Southcenter Pkwy Ste 103, Tukwila, WA 98188-3330 | 2013-05-07 |
| 1669817755 | Nurani, Mitchell, Kim, PC | Dentist | 4291 Meridian St Ste 101, Bellingham, WA 98226-6482 | 2013-05-03 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.