DR. MARY ANN JOHNSON (NPI# 1003286055) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003286055 |
| Entity Type | Individual |
| Full Name | DR. MARY ANN JOHNSON |
| Credential | D.M.D. |
| Practice Address |
320 Comanche St. Kiowa CO 80117 |
| Mailing Address |
3205 N Academy Blvd Suite 130 Colorado Springs CO 80917-5147 |
| Practice Telephone | 7203899763 |
| Mailing Telephone | 7196325700 |
| Enumeration Date | 2015-10-02 |
| Last Update Date | 2017-04-04 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 122300000X | Dentist | DEN.00202717 | CO | Dental Providers |
| N | 122300000X | Dentist | DN011093 | GA | Dental Providers |
| Y | 1223G0001X |
Dentist Specialization: General Practice |
DEN.00202717 | CO | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 80200079 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356953145 | Mary Ann Johnson | Technician | 165 Everett Dr, Gallipolis Ferry, WV 25515-7005 | 2020-08-21 |
| 1851938385 | Mary Johnson | Technician | 2917 W 19th Ave Trlr 79, Kennewick, WA 99337-2307 | 2019-12-03 |
| 1578106845 | Mary Margaret Johnson | Social Worker | 6614 Shallowford Rd. Suite 250, Lewisville, NC 27023 | 2019-10-19 |
| 1033670807 | Mary Bernece Johnson | Registered Nurse | 5603 Mandalay, Killeen, TX 76549-4597 | 2019-03-26 |
| 1295205342 | Mary Elizabeth Johnson | Speech-Language Pathologist | 502 W Windsor Rd, Champaign, IL 61820-7739 | 2018-12-03 |
| 1255825758 | Mary Elizabeth Johnson | Dietitian, Registered | 3590 Lucille Dr Ste 2600, Cincinnati, OH 45213-2669 | 2018-06-18 |
| 1871000463 | Mary James (jamie) Johnson | Counselor | 1100 Spring Street, Suite 380, Atlanta, GA 30309 | 2018-01-04 |
| 1841735289 | Mary Johnson | Registered Nurse | 14 Cypress Fairway Vlg, Wimberley, TX 78676-1974 | 2016-12-20 |
| 1467827220 | Mary Johnson | Registered Nurse | 308 Keelson Dr, Detroit, MI 48215-3058 | 2015-12-04 |
| 1932596764 | Mary Catherine Johnson | Internal Medicine | 4502 Medical Dr # Mc7977, San Antonio, TX 78229 | 2015-04-20 |
| Street Address |
320 COMANCHE ST. |
| City | KIOWA |
| State | CO |
| Zip Code | 80117 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205255304 | Peak Vista Community Health Centers | Clinic/Center | 320 Commanche Street, Kiowa, CO 80117 | 2014-04-16 |
| 1083979660 | Plains Medical Center, Inc. | Clinic/Center | 320 Comanche Street, Kiowa, CO 80117 | 2012-07-10 |
| 1821120262 | Elbert County Public Health | Public Health or Welfare | 212 Comanche, Kiowa, CO 80117 | 2007-03-12 |
| 1457499121 | Kiowa Fire Protection District | Ambulance | 403 Cr 45, Kiowa, CO 80117 | 2007-02-02 |
| 1154508026 | Kiowa Fire Protection District | Ambulance | 403 County Road 45, Kiowa, CO 80117-0321 | 2008-01-23 |
| 1154569408 | Kathleen Weber | Nurse Practitioner | 29247 Maul Rd # 271, Kiowa, CO 80117-8821 | 2009-01-24 |
| 1326601824 | Christine Lynn Ferrel | In Home Supportive Care | 11200 Shepherds Cir, Kiowa, CO 80117-8865 | 2019-04-19 |
| 1215311097 | Ashley R Carnahan | Pharmacist | 28000 N Elbert Rd, Kiowa, CO 80117-8905 | 2015-07-12 |
| 1669973897 | Molly Joest | Speech-Language Pathologist | 7271 Pine Crest Dr, Kiowa, CO 80117-8908 | 2018-02-22 |
| 1821430406 | Carlee Prinslow | Physical Therapy Assistant | 32517 County Road 33, Kiowa, CO 80117-8919 | 2013-07-23 |
| Find all providers in zip 80117 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| 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. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346848496 | Vantage Pointe Dental Pllc | Dentist | 11410 Via Varra Unit 400, Broomfield, CO 80020-9764 | 2020-10-12 |
| 1295342640 | Union Blvd Dental Pllc | Dentist | 3920 N Union Blvd Ste 380, Colorado Springs, CO 80907-4922 | 2020-09-29 |
| 1548877608 | Elbert Dental Pllc | Dentist | 6140 Tutt Blvd Ste 140, Colorado Springs, CO 80923-3574 | 2020-09-23 |
| 1588279350 | Parker Alan Drake | Dentist | 36 E Allen St Ste 100, Castle Rock, CO 80108-7823 | 2020-09-09 |
| 1730793803 | Alexis Marie Gerry | Dentist | 13606 Xavier Lane Suite B, Broomfield, CO 80023 | 2020-09-04 |
| 1124632575 | Kristine Villanueva | Dentist | 18620 Green Valley Ranch Blvd, Denver, CO 80249-6843 | 2020-09-03 |
| 1710591342 | Station Dental Group, PC | Dentist | 14001 E Iliff Ave Ste 104, Aurora, CO 80014-1424 | 2020-09-01 |
| 1336751213 | Michael Kawulok | Dentist | 5221 Pinehurst Dr, Boulder, CO 80301-3792 | 2020-08-20 |
| 1699386706 | Westgate Family Dentistry | Dentist | 2323 S Wadsworth Blvd Ste 109, Lakewood, CO 80227-3254 | 2020-08-12 |
| 1801406087 | Victoria Ton | Dentist | 925 S Niagara St Ste 480, Denver, CO 80224-1681 | 2020-08-03 |
| 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.