BRYAN C JOHNSON DMD PC (NPI# 1962717520) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962717520 |
| Entity Type | Organization |
| Organization Name | BRYAN C JOHNSON DMD PC |
| Other Organization Name | LEWIS RIVER DENTAL |
| Practice Address |
500 Columbia St Suite B Woodland WA 98674-8491 |
| Practice Telephone | 3602255600 |
| Practice Fax Number | 3602250369 |
| Mailing Telephone | 3602255600 |
| Mailing Fax Number | 3602250369 |
| Enumeration Date | 2010-08-06 |
| Last Update Date | 2010-08-06 |
| Authorized Official Name | DR. BRYAN CARL JOHNSON (OWNER) |
| Authorized Official Telephone | 3602255600 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
8734 | WA | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Lewis River Dental | Doing Business As Name - Organization |
| Street Address |
500 COLUMBIA ST SUITE B |
| City | WOODLAND |
| State | WA |
| Zip Code | 98674-8491 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215063516 | Woodland Eye & Vision | Optometrist | 500 Columbia St, Suite A, Woodland, WA 98674-8491 | 2007-02-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790328409 | Susan E Van Skike | Social Worker | 38503 Nw Goose Hill Avenue, Woodland, WA 98674 | 2019-10-25 |
| 1336599323 | Erin Hutchinson | Counselor | 1251 Lewis River Road, Ste. A, Woodland, WA 98674 | 2016-06-21 |
| 1972977577 | Kelsey Ann Miller | Speech-Language Pathologist | 800 Second Street Wsd Special Service, Woodland, WA 98674 | 2015-11-19 |
| 1598194482 | Elizabeth Grendahl | Massage Therapist | 1227-h North Goerig, Woodland, WA 98674 | 2013-11-01 |
| 1417258674 | Safeway Pharmacy | Pharmacy | Safeway 1725 Pacific Avenue, Woodland, WA 98674 | 2010-11-04 |
| 1538370267 | Tiffany Marie Rose | Massage Therapist | 38803 Ne 2nd Ave, Lacenter, WA 98674 | 2007-05-24 |
| 1417161555 | Jack L Vandyke | Dentist | 640 Georig St, Woodland, WA 98674 | 2007-05-09 |
| 1619934007 | Pearson Medical Clinic Pllc | Internal Medicine | 527 2nd Street, Woodland, WA 98674 | 2006-04-28 |
| 1083914733 | Wal-mart Stores Inc | Technician/Technologist | 1486 Dike Access Rd, Woodland, VA 98674 | 2010-10-28 |
| 1710018213 | Tammy Wallace | Specialist | 1227 Goerig Rd, Ste H, Woodland, WA 98674 | 2007-03-08 |
| Find all providers in zip 98674 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639654924 | Dalla Gill Dental Inc | Clinic/Center | 58 W Court St, Woodland, CA 95695-3012 | 2018-10-02 |
| 1053472993 | Cowlitz Family Health Center | Clinic/Center | 1251 Lewis River Rd Ste D, Woodland, WA 98674-9203 | 2006-12-13 |
| 1659934206 | Diwan Dds Inc | Clinic/Center | 1204 Cottonwood St Ste No2, Woodland, CA 95695-4362 | 2019-04-19 |
| 1245719772 | Truong & Pongmanopap Dds PC | Clinic/Center | 255 W Court St Ste C, Woodland, CA 95695-2986 | 2018-08-07 |
| 1912232729 | James Z. Yang, Dds, PC | Clinic/Center | 1204 Cottonwood St, Suite 4, Woodland, CA 95695-4362 | 2009-10-13 |
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| 1932700671 | K.lee, Dds, Pllc. | Clinic/Center | 20709 Mountain Hwy E # 102, Spanaway, WA 98387-8580 | 2020-11-06 |
| 1346841376 | Ralf F. Schuler, Dr. Med. Dent., Msd,pllc | Clinic/Center | 205 W Fairhaven Ave Ste C, Burlington, WA 98233-1062 | 2020-11-05 |
| 1356942684 | Healthy Smiles Northwest | Clinic/Center | 11808 18th St Se, Lake Stevens, WA 98258-2046 | 2020-11-03 |
| 1306446240 | Christine A Woodward, Dds, Pllc | Clinic/Center | 45860 Main St, Concrete, WA 98237 | 2020-10-29 |
| 1215535695 | Ellingsen Henneberg Pllc | Clinic/Center | 2607 S Southeast Blvd Ste B210, Spokane, WA 99223-7614 | 2020-10-16 |
| 1174121792 | Evolve Dental LLC | Clinic/Center | 4410 194th St Sw Ste A, Lynnwood, WA 98036-5598 | 2020-10-15 |
| 1326646035 | Natasha Habib Dds Ps | Clinic/Center | 1025 153rd St Se Ste 103, Mill Creek, WA 98012-4051 | 2020-10-14 |
| 1386241636 | Mellissa Ilgen, Dds, Pllc | Clinic/Center | 26114 Illinois Ave Ne, Kingston, WA 98346-7674 | 2020-10-08 |
| 1417554932 | Young, Yeung, Lee, Hockin, P.s | Clinic/Center | 2207 2nd Ave, Seattle, WA 98121-2016 | 2020-10-07 |
| 1164039731 | Consolidated Dental Three | Clinic/Center | 19221 108th Ave Se Ste 2, Renton, WA 98055-7369 | 2020-09-28 |
| Find all providers with the same taxonomy | ||||
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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.