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1346793197 NPI number — NICOLE MARIE JOHNSTON DDS

NPI Number: 1346793197
Health Care Provider/Practitioner: NICOLE MARIE JOHNSTON DDS

Information about “1346793197” NPI (NICOLE MARIE JOHNSTON DDS) exists in 1346793197 in HTML format HTML  |  1346793197 in plain Text format TXT  |  1346793197 in PDF (Portable Document Format) PDF  |  1346793197 in an XML format XML  formats.

NPI Number : 1346793197 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1346793197",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "JOHNSTON",
    "FirstName": "NICOLE",
    "MiddleName": "MARIE",
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "DDS",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "VOELLER",
    "OtherFirstName": "NICOLE",
    "OtherMiddleName": "MARIE",
    "OtherNamePrefix": "DR.",
    "OtherNameSuffix": null,
    "OtherCredential": "DDS",
    "OtherLastNameTypeCode": "5",
    "FirstLineMailingAddress": "4150 CALIFORNIA AVE SW",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "SEATTLE",
    "MailingAddressStateName": "WA",
    "MailingAddressPostalCode": "98116-4102",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "62-935-1855",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "4150 CALIFORNIA AVE SW",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "SEATTLE",
    "PracticeLocationAddressStateName": "WA",
    "PracticeLocationAddressPostalCode": "98116-4102",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "62-935-1855",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "07/28/2016",
    "LastUpdateDate": "03/11/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "1223G0001X",
          "TaxonomyName": "General Practice Dentistry",
          "LicenseNumber": "60671562",
          "LicenseNumberStateCode": "WA",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "122300000X",
          "TaxonomyName": "Dentist",
          "LicenseNumber": "DE6061562",
          "LicenseNumberStateCode": "WA",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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