NITA F JOHNSON (NPI# 1114033321) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114033321 |
| Entity Type | Individual |
| Full Name | NITA F JOHNSON |
| Credential | DDS |
| Practice Address |
6121 N Hanley Rd Berkeley MO 63134-2003 |
| Practice Telephone | 3146150531 |
| Practice Fax Number | 3146158303 |
| Mailing Telephone | 3146150531 |
| Mailing Fax Number | 3146158303 |
| Enumeration Date | 2006-08-21 |
| Last Update Date | 2012-12-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
013816 | MO | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 401814611 | 05 |
| Street Address |
6121 N HANLEY RD |
| City | BERKELEY |
| State | MO |
| Zip Code | 63134-2003 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396366589 | Bernadette Sheffield | Occupational Therapist | 6121 N Hanley Rd, Berkeley, MO 63134-2003 | 2020-04-29 |
| 1912544222 | Steven Robert Larosa | Social Worker | 6121 N Hanley Rd, Berkeley, MO 63134-2003 | 2019-12-05 |
| 1801350723 | Lanora A Barman | Registered Nurse | 6121 N Hanley Rd, Berkeley, MO 63134-2003 | 2019-01-24 |
| 1679047237 | Whitney Nelson | Prevention Professional | 6121 N Hanley Rd, Berkeley, MO 63134-2003 | 2019-01-17 |
| 1699249201 | Lauren Pyatt | Prevention Professional | 6121 N Hanley Rd, Berkeley, MO 63134-2003 | 2019-01-16 |
| 1235616301 | Ophelia Anderson | Prevention Professional | 6121 N Hanley Rd, Berkeley, MO 63134-2003 | 2018-07-23 |
| 1730666017 | Joyce Theard | Prevention Professional | 6121 N Hanley Rd, Berkeley, MO 63134-2003 | 2018-07-19 |
| 1518444892 | Emmanuel Eugene Mccarrell | Prevention Professional | 6121 N Hanley Rd, Berkeley, MO 63134-2003 | 2018-07-19 |
| 1487162574 | Jennifer Diane Hopwood | Dietitian, Registered | 6121 N Hanley Rd, Berkeley, MO 63134-2003 | 2018-01-11 |
| 1922538891 | Sarah Woods | Dietitian, Registered | 6121 N Hanley Rd, Berkeley, MO 63134-2003 | 2017-06-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457873010 | Erica Wilkins | Home Health Aide | 8401 Alder Ave, Berkeley, MO 63134 | 2017-07-14 |
| 1083029540 | Express Scripts Specialty Distribution Services, Inc. | Pharmacy | 4700 North Hanley Road, Suite A, St. Louis, MO 63134 | 2014-06-24 |
| 1083024061 | Avertest, LLC | Clinic/Center | 4709 Laguardia Dr, Suite 100, Saint Louis, MO 63134 | 2014-04-30 |
| 1477765196 | Darren Cartwright | Dentist | 6065 Helen Avenue, St. Louis, MO 63134 | 2007-05-04 |
| 1679629703 | Baligh Ramzi Yehia | Internal Medicine | 4600 Edmundson Rd, Saint Louis, MO 63134 | 2007-01-25 |
| 1316017072 | Courier Healthcare Systems, Inc | Home Health | 4433 Woodson Rd., Suite 103, Woodson Terrace, MO 63134 | 2006-11-09 |
| 1467534826 | Express Scripts Specialty Distribution Services, Inc. | Pharmacy | 8931 Springdale Ave., Suite A, Saint Louis, MO 63134 | 2006-10-19 |
| 1346355385 | Jsh Group LLC | Durable Medical Equipment & Medical Supplies | 4441brown Road, St. Louis, MO 63134 | 2006-08-20 |
| 1235175241 | Select Physical Therapy of St Louis Limited Partnership | Clinic/Center | 8905 Airport Rd, Saint Louis, MO 63134 | 2006-06-20 |
| 1770005365 | Optimum Plus Home Healthcare | Home Health | 8401 Alder Ave, Berkeley, MO 63134-1307 | 2017-07-14 |
| Find all providers in zip 63134 | ||||
| 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 |
|---|---|---|---|---|
| 1578177275 | S H Hokmabadi Inc | Dentist | 3085 Telegraph Ave, Berkeley, CA 94705-2035 | 2020-09-01 |
| 1053961797 | Andrew Kurtz | Dentist | 1313 Gilman St # A, Berkeley, CA 94706-2431 | 2019-09-15 |
| 1083138820 | Peter Daniel Fredrickson | Dentist | 2999 Regent St Ste 714, Berkeley, CA 94705-2122 | 2017-08-02 |
| 1568747400 | S Hokmabadi Dds Inc | Dentist | 3017 Telegraph Ave Ste 300, Berkeley, CA 94705-2049 | 2011-10-11 |
| 1790007094 | Howard Y Endo | Dentist | 2507 Ashby Ave, Berkeley, CA 94705-2205 | 2010-02-27 |
| 1477781573 | Jennifer H Cho | Dentist | 2915 Telegraph Ave Ste 303, Berkeley, CA 94705-2030 | 2009-06-26 |
| 1386842979 | Antonio M. Bistrain | Dentist | 2426 Webster St, Berkeley, CA 94705-2016 | 2007-07-05 |
| 1861698813 | David Yuezhong Li | Dentist | 3031 Telegraph Ave Ste 136a, Berkeley, CA 94705-2052 | 2007-06-26 |
| 1053526749 | Marjan Rusta | Dentist | 1313 Gilman St Ste A, Berkeley, CA 94706-2431 | 2007-05-14 |
| 1508079617 | Igor B. Yudin | Dentist | 2320 Woolsey St Ste 203, Berkeley, CA 94705-1975 | 2007-05-07 |
| Find all providers in BERKELEY | ||||
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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.