DEAN B JOHNSON (NPI# 1831236892) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831236892 |
| Entity Type | Individual |
| Full Name | DEAN B JOHNSON |
| Credential | DMD |
| Practice Address |
4550 3rd Ave Se Lacey WA 98503-1033 |
| Mailing Address |
6950 Ne Campus Way Hillsboro OR 97124-5611 |
| Practice Telephone | 8554336825 |
| Mailing Telephone | 5039522164 |
| Mailing Fax Number | 5035264418 |
| Enumeration Date | 2007-01-31 |
| Last Update Date | 2020-04-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | DE00010566 | WA | Dental Providers |
| N | 122300000X | Dentist | D3933 | ID | Dental Providers |
| N | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
140755 9921 | UT | Dental Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 6120 Capitol Blvd Se, Tumwater, WA 985015271 | 3603525503 | 3603525398 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558961037 | Dean Johnson | Acupuncturist | 310 Nw 5th St Ste 201, Corvallis, OR 97330-4895 | 2020-10-26 |
| 1801435235 | Dean Micheal Johnson | Registered Nurse | 7538 Mid Town Rd Apt 105, Madison, WI 53719-3454 | 2020-01-02 |
| 1093881260 | Dean L Johnson | Chiropractor | 710 E Colorado Blvd, Suite A, Spearfish, SD 57783-4701 | 2006-11-28 |
| 1831355676 | Dean R Johnson | Counselor | 4271 Hempstead Tpke, Bethpage, NY 11714-5708 | 2008-07-31 |
| 1265619548 | Dean A Johnson | Chiropractor | 4801 Riverbend Rd, Boulder, CO 80301-2613 | 2008-01-29 |
| 1558498659 | Dean Earl Johnson | Chiropractor | 5910 S University Blvd, Suite A2, Greenwood Village, CO 80121-2879 | 2007-02-27 |
| 1073681995 | Dean Olin Johnson | Physical Therapist | 1600 Eureka Rd, Roseville, CA 95661-3027 | 2006-11-30 |
| 1356448476 | Dean Everett Johnson | Obstetrics & Gynecology | 4508 38th St, Suite 128, Columbus, NE 68601-1668 | 2006-09-20 |
| 1124057625 | Dean E. Johnson | Emergency Medicine | 1001 S George St, York Hospital Emergency Department, York, PA 17403-3676 | 2006-06-30 |
| Street Address |
4550 3RD AVE SE |
| City | LACEY |
| State | WA |
| Zip Code | 98503-1033 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609489582 | Sarah Ann Kang | Dentist | 4550 3rd Ave Se, Lacey, WA 98503-1033 | 2020-08-28 |
| 1326500109 | Miles Richard Di Sabella | Dentist | 4550 3rd Ave Se, Lacey, WA 98503-1033 | 2019-04-02 |
| 1902367584 | Marla Ketty Fleming | Dentist | 4550 3rd Ave Se, Lacey, WA 98503-1033 | 2019-03-27 |
| 1497199491 | Yasmine Mohamed | Dentist | 4550 3rd Ave Se, Lacey, WA 98503-1033 | 2013-04-20 |
| 1922389410 | Jasjit Minhas | Dentist | 4550 3rd Ave Se, Lacey, WA 98503-1033 | 2011-08-29 |
| 1932387222 | Nancy Wang | Dentist | 4550 3rd Ave Se, Lacey, WA 98503-1033 | 2008-02-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457838989 | Michele Nordgren Bourque | Psychologist | 4329 Concordia Lane Se, Lacey, WA 98503 | 2018-07-26 |
| 1831638675 | Trevor John Marum | Chiropractor | 3945 8th Ave Se, Lacey, WA 98503 | 2017-02-13 |
| 1366993362 | Vanessa Julie Iglesias Mehta | Physician Assistant | 5128 Yelm Hwy Se, Suite E, Lacey, WA 98503 | 2016-10-14 |
| 1144683616 | Millenda Thomas | Registered Nurse | 1233 Firpark Dr. S.e., Lacey, WA 98503 | 2016-04-01 |
| 1609257245 | Erika Charlotte Vonkotzebue | Counselor | 4401 37th Ave. Se #25, Lacey, WA 98503 | 2015-06-09 |
| 1437576196 | Candy Nelson | Registered Nurse | 4410 6th Ave Se, Apt# 115, Lacy, WA 98503 | 2014-03-19 |
| 1134563919 | Alvin Fitzgerald | Pharmacist | 665 Sleater Kinney Rd., S.e, Target Pharmacy #1355, Lacey, WA 98503 | 2013-04-23 |
| 1518200724 | Katherine Mary Marsh | Psychologist | 5191 Corporate Center Court Se, Lacey, WA 98503 | 2013-04-05 |
| 1740530906 | Leanna Marie Mcbroom | Massage Therapist | 1608 Diamond Loop Se, Lacey, WA 98503 | 2012-09-14 |
| 1831445196 | Joyce Emily Christensen Coniff | Counselor | 5706 39th Ave Se., Lacey, WA 98503 | 2012-07-24 |
| Find all providers in zip 98503 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407461825 | Jangsu Kiyoshi | Dentist | 3006 Mahogany St Ne, Lacey, WA 98516-5589 | 2020-09-11 |
| 1215584701 | Nisqually Reach Family Dentistry | Dentist | 2521 Marvin Rd Ne Ste G, Lacey, WA 98516-3153 | 2019-08-20 |
| 1386290641 | Mark Douglas Morrison | Dentist | 9321 Martin Way E Ste 101, Lacey, WA 98516-5928 | 2019-08-13 |
| 1144715293 | Jason Sholly | Dentist | 909 Sleater Kinney Rd Se Ste 3, Lacey, WA 98503-1103 | 2018-06-29 |
| 1952820607 | Luis Gustavo Acosta | Dentist | 5122 Yelm Hwy Se Ste E, Lacey, WA 98503-5037 | 2017-09-13 |
| 1306234166 | Reza Tahernia | Dentist | 8050 Freedon Lane Ne, Suite C, Lacey, WA 98516 | 2015-01-02 |
| 1831520162 | Lacey Dental, LLC | Dentist | 1110 Galaxy Dr Ne, Lacey, WA 98516-4763 | 2013-12-12 |
| 1336589506 | Joshua C Carpenter | Dentist | 3201 Willamette Dr Ne, Suite A, Lacey, WA 98516-1376 | 2013-07-02 |
| 1396973418 | Tyler R Burningham | Dentist | 8857 Windham Ct Ne, Lacey, WA 98516-3884 | 2009-06-26 |
| 1780847103 | Scott John Neuhaus | Dentist | 3925 Pacific Ave Se, Lacey, WA 98503-1108 | 2008-07-07 |
| Find all providers in LACEY | ||||
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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.