DR. MICHAEL WILLIAM JOHNSON (NPI# 1487636171) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487636171 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL WILLIAM JOHNSON |
| Credential | DDS |
| Practice Address |
1370 116th Ave Ne Ste 212 Bellevue WA 98004-3825 |
| Practice Telephone | 4254554993 |
| Practice Fax Number | 4254555036 |
| Mailing Telephone | 4254554993 |
| Mailing Fax Number | 4254555036 |
| Enumeration Date | 2005-11-17 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0700X |
Dentist Specialization: Prosthodontics |
5716 | WA | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | L & I PROVIDER NUMBER | 39018 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326655150 | Michael Johnson | Massage Therapist | 4344 Promenade Way Unit 304, Marina Del Rey, CA 90292-6293 | 2020-09-25 |
| 1184236648 | Michael L Johnson | Massage Therapist | 5 Skinner Ct, Tomkins Cove, NY 10986-1105 | 2020-08-17 |
| 1902440266 | Michael Cottrell Johnson | Technician | 3812 W. Mercer Way, Mercer Island, WA 98040 | 2019-10-30 |
| 1235772658 | Michael James Johnson | Driver | 173 S 197th Dr, Buckeye, AZ 85326-3069 | 2019-10-18 |
| 1992287130 | Michael Ray Johnson | Counselor | 900 Nw 31 Ave, Suite #2000, Ft Laud, FL 33311 | 2018-09-04 |
| 1932681715 | Michael Kenneth Johnson | Physician Assistant | 5399 Coachman Rd Apt E, Columbus, OH 43220-6270 | 2018-08-29 |
| 1538648860 | Michael Darnel Johnson Sr. | Counselor | 1705 Kinser Ct, Chesapeake, VA 23324-2332 | 2018-08-08 |
| 1821584988 | Michael Todd Johnson | Registered Nurse | 2137 W 70 S, Hurricane, UT 84737-2791 | 2018-07-02 |
| 1003313727 | Michael Olton Johnson | Physician Assistant | 11513 Merrick Blvd, Jamaica, NY 11434 | 2018-04-09 |
| 1578067336 | Michael Everett Johnson | Student in an Organized Health Care Education/Training Program | 1840 E Woodchase Dr, Baton Rouge, LA 70808-4000 | 2018-03-19 |
| Street Address |
1370 116TH AVE NE STE 212 |
| City | BELLEVUE |
| State | WA |
| Zip Code | 98004-3825 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255337853 | Lorne D. Trimble | Dentist | 1370 116th Ave Ne, Ste 101, Bellevue, WA 98004-3825 | 2005-06-28 |
| 1811438161 | Kimberley Napolitan | Dental Hygienist | 1370 116th Ave Ne, Suite 101, Bellevue, WA 98004-3825 | 2017-03-19 |
| 1043601719 | Melody C. Libatique | Chiropractor | 1370 116th Ave Ne, Bellevue, WA 98004-3825 | 2015-02-16 |
| 1669862165 | Yoko Miller | Audiologist | 1370 116th Ave Ne, Suite 201, Bellevue, WA 98004-3825 | 2015-02-04 |
| 1003242538 | Kristin Tessier | Massage Therapist | 1370 116th Ave Ne, Ste 206, Bellevue, WA 98004-3825 | 2013-09-16 |
| 1871844225 | Hiroka Mamiya | Audiologist | 1370 116th Ave Ne, Suite 201, Bellevue, WA 98004-3825 | 2012-09-25 |
| 1376892778 | Maan Salloum Md Pllc | Anesthesiology | 1370 116th Ave Ne, Suite 100, Bellevue, WA 98004 | 2012-08-31 |
| 1679856926 | Kristin Kimberly Denkinger | Massage Therapist | 1370 116th Ave Ne, 206, Bellevue, WA 98004-3825 | 2011-09-22 |
| 1528349016 | Samy Salama Md Inc Ps | Anesthesiology | 1370 116th Ave Ne, Suite 209, Bellevue, WA 98004-3825 | 2011-08-29 |
| 1376839951 | Lin Li | Internal Medicine | 1370 116th Ave Ne, Suite 209, Bellevue, WA 98004-3825 | 2011-06-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306458328 | Geneva Paula Hoskins-dorsey | Nurse Practitioner | 11120 Ne 33rd Place, Suite 202, Bellevue, WA 98004 | 2020-08-20 |
| 1720553613 | Christine Eyler | Pediatrics | Bellevue Pediatrics, C & C Medical Associates, 1940 116th Ave Ne, Ste 200, Bellevue, WA 98004 | 2018-10-08 |
| 1437634730 | Hazelden Betty Ford Foundation | Clinic/Center | 1231 116th Ave. Ne Suite 410, Bellevue, WA 98004 | 2018-10-02 |
| 1356827828 | Seattle Spine Group, Pllc | Orthopaedic Surgery | 1220 116th Ave Ne Ste 102, Bellevue, WA 98004 | 2018-07-17 |
| 1669989216 | Atsuko Nakajima | Acupuncturist | 2223 112th Ave. Ne, Ste 201, Bellevue, WA 98004 | 2018-01-04 |
| 1740794718 | Radka Chapin Counseling, LLC | Clinic/Center | 1611 116th Ave Ne Ste 119, Bellevue, WA 98004 | 2017-11-28 |
| 1962912105 | Cuyler Ann Simmons | Counselor | 3805 108th Ave Ne Ste 204, Bellevue, WA 98004 | 2017-10-02 |
| 1639690357 | Nicolas Lopez-montalvo | Behavioral Analyst | 3003 Northup Way Suite 200, Bellevue, WA 98004 | 2017-07-03 |
| 1124579537 | Matthew Thomas Haley | Pharmacist | 107 Bellevue Way, Se, Bellevue, WA 98004 | 2016-10-20 |
| 1649727348 | Kelsey Tanaka | Nurse Practitioner | 400- 108th Ave Ne, Suite 100, Bellevue, WA 98004 | 2016-09-10 |
| Find all providers in zip 98004 | ||||
| Taxonomy Code | 1223P0700X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Prosthodontics |
| That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609229699 | Albert Chung Dental Clinic | Dentist | 12715 Bel Red Rd Ste 201, Bellevue, WA 98005-2627 | 2016-07-14 |
| 1013307982 | Carolina Cespedes | Dentist | 1200 112th Ave Ne Ste C110, Bellevue, WA 98004-3737 | 2015-01-30 |
| 1386851749 | Weite Victor Lee | Dentist | 4437 170th Avenue Se, Bellevue, WA 98006 | 2007-05-16 |
| 1154478097 | Warren Jay Libman | Dentist | 14595 Bel Red Rd, Suite 100, Bellevue, WA 98007-3928 | 2007-01-04 |
| 1689746711 | Chandur Pk Wadhwani | Dentist | 12715 Bel-red Rd., Suite 201, Bellevue, WA 98005-2627 | 2006-11-14 |
| 1992877021 | Dennis H Smith | Dentist | 1200 116th Ave Ne Ste A, Bellevue, WA 98004-3802 | 2006-11-14 |
| 1134676554 | Factoria Dentistry | Dentist | 4307 Factoria Blvd Se Ste 1, Bellevue, WA 98006-1936 | 2016-09-01 |
| 1366608044 | Hassan Chihab | Dentist | 4301 Factoria Blvd Se, Suite B, Bellevue, WA 98006-1982 | 2008-08-01 |
| 1679750103 | Warren J Libman Dds,msd,ps | Dentist | 14595 Bel Red Rd, #100, Bellevue, WA 98007-3928 | 2008-01-28 |
| 1558552604 | Kwok-hung (albert) Chung | Dentist | 1200 116th Ave Ne Ste A, Bellevue, WA 98004-3802 | 2007-08-05 |
| Find all providers in BELLEVUE | ||||
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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.