Independent US Healthcare Provider Directory & Public Medical Database Patient Guides

Dr. Mitchell Blake Johnson , DDS

Dentist - General Practice β€’ Shoreline, WA

Active NPI 1811670979 Individual Practitioner Male Practitioner
Practice location in NPPES

735 N 185th St
Shoreline, WA 981333901

Call 2065427000 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

735 N 185th St

Shoreline, WA 981333901

Telephone 2065427000
Organization at the Same NPPES Address or Phone
Tommy Fong, Dds, Vivian M. Bennett, Dds, Pc Facility NPI 1871628446

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2019–2025.

Guide: How to read an Open Payments record

NPI first issued

2023

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Shoreline and Washington

40 active clinicians are listed under Dentist - General Practice with a practice address in Shoreline, WA (3,198 in Washington).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Shoreline

0% of these 40 clinicians have the CMS telehealth indicator.

0% of these 40 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2023-08-07
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

License # reported to NPPES WA DE61449772

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Washington State Department of Health Provider Lookup.
Look Up on State Board Site

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

4 listed
Dr. Elizabeth Criswell , DDS

Dentist - General Practice

NPI 1275919631

Doctor of Dental Surgery

Dr. David Kim , DDS

Dentist - General Practice

NPI 1376790717

Doctor of Dental Surgery

Dr. Edmond Tse , DDS

Dentist - General Practice

NPI 1285102111

Doctor of Dental Surgery

Dr. Jessie Zou , DDS

Dentist - General Practice

NPI 1437776697

Doctor of Dental Surgery

Career & Practice History

NPI enumerated August 07, 2023.

No changes to the name, practice address, taxonomy or NPI status in this record have been observed in the monthly NPPES data files from August 2023 to August 2026.

No reviews have been published yet. Leave a review.

NPI Administrative Meta

NPI Number: 1811670979
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 07, 2023
Last Update: August 07, 2023
Sole Proprietor: No

Other Dentist - General Practices in Shoreline

All Dentist - General Practices in Shoreline

Mailing Address

735 N 185th St

Shoreline, WA 981333901

Phone: 2065427000

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.