MR. JEFFREY C. JOHNSON (NPI# 1114570652) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114570652 |
| Entity Type | Individual |
| Full Name | MR. JEFFREY C. JOHNSON |
| Credential | D.D.S. |
| Practice Address |
250 Route 4 Ste 101 Hagatna GU 96910-7110 |
| Practice Telephone | 6716467982 |
| Practice Fax Number | 6716467989 |
| Mailing Telephone | 6716467982 |
| Mailing Fax Number | 6716467989 |
| Enumeration Date | 2019-07-23 |
| Last Update Date | 2019-07-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
D829 | GU | Dental Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 250 Route 4 Ste 101, Hagatna, GU 969107110 | 6716467982 | 6716467989 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144725391 | Jeffrey Phillip Johnson | Speech-Language Pathologist | 635 Commonwealth Ave Rm 326, Boston, MA 02215-1605 | 2018-03-29 |
| 1730684903 | Jeffrey Pace Johnson | Student in an Organized Health Care Education/Training Program | 750 E Adams St Rm 1816, Syracuse, NY 13210-2306 | 2018-03-28 |
| 1992256374 | Jeffrey S. Johnson | Counselor | 108 Okemos St, Mason, MI 48854-1263 | 2016-10-20 |
| 1598156713 | Jeffrey Johnson | Counselor | 3057 Acushnet Ave, New Bedford, MA 02745-3636 | 2015-02-10 |
| 1336542885 | Jeffrey Johnson | Physical Therapy Assistant | 563 S Grant St, Denver, CO 80209-4105 | 2014-09-29 |
| 1992110894 | Jeffrey Johnson | Dentist | 2120 Virginia Dr, Wichita Falls, TX 76309-4646 | 2014-06-30 |
| 1093125916 | Jeffrey William Johnson | Psychologist | 105 High Street, Warren, OH 44483-5195 | 2014-04-30 |
| 1922373851 | Jeffrey A. Johnson | Social Worker | 28 Roe Ln, Howell, NJ 07731-9071 | 2012-03-10 |
| 1962776039 | Jeffrey Johnson | Veterinarian | 1405 Bradford Way, Redding, CA 96003-4074 | 2012-03-06 |
| 1366734998 | Jeffrey David Johnson | Obstetrics & Gynecology | 6130 N La Cholla Blvd Ste 135a, Tucson, AZ 85741-3557 | 2011-05-16 |
| Street Address |
250 ROUTE 4 STE 101 |
| City | HAGATNA |
| State | GU |
| Zip Code | 96910-7110 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275186611 | Rayner D. Terlaje | Dentist | 250 Route 4 Ste 101, Hagatna, GU 96910-7110 | 2019-07-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518576230 | Bo Henry Marshall | Physician Assistant | 302 S Route 4 Ste 207, Hagatna, GU 96910 | 2020-07-28 |
| 1972133361 | Elizabeth Quilitis Camacho | Licensed Practical Nurse | 127 2nd St Ocean Vista Tiyan, Maite, GU 96910 | 2020-01-24 |
| 1588200497 | Carrie Margeson | Pharmacist | Bldg #50 Farenholt Ave, Tutuhan, GU 96910 | 2019-11-26 |
| 1265075188 | Amy C Romero | Counselor | 144 Afia Building Suite 201, Hagatna, GU 96910 | 2019-10-23 |
| 1710549589 | Carmela Santos | Registered Nurse | Bldg #50, Farenholt Ave, Tutuhan, GU 96910 | 2019-07-02 |
| 1912469404 | Daniel A. Duenas | Social Worker | 222 Chalan Santo Papa Reflection Center, Hagatna, GU 96910 | 2019-04-03 |
| 1598238891 | Steven Butler | Counselor | 144 Aspinal Ave., Afia Bld. Suite 202, Hagatna, GU 96910 | 2019-01-09 |
| 1790275675 | Evangeline Claassens | Nurse Practitioner | 736 South Route 4, Suite 103, Sinajana, GU 96910 | 2018-05-16 |
| 1356839575 | Evergreen Health Center LLC | Clinic/Center | 520 Route 8, Maite, GU 96910 | 2018-04-23 |
| 1902312382 | Sarah Burton | Pharmacist | Building 50 Farenholt Blvd, Agana Heights, GU 96910 | 2017-12-20 |
| Find all providers in zip 96910 | ||||
| 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 |
|---|---|---|---|---|
| 1851663181 | Bruce R Reynolds | Dentist | 222 Chalan Santo Papa St. #304 Reflection Center, Suite 304, Hagatna, GUAM 96910 | 2012-02-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659885523 | Bsjc, LLC | Dentist | 692 N Marine Corps Dr Ste 301, Tamuning, GU 96913-4454 | 2017-11-29 |
| 1255874285 | Janice Malilay | Dentist | 194 Chalan San Antonio, Suite 201, Tamuning, GU 96913-3508 | 2016-11-22 |
| 1437553922 | Hugh Sule | Dentist | 278 S Marine Corps Dr, Hengi Plaza Suite #102, Tamuning, GU 96913-3935 | 2014-10-13 |
| 1184990905 | Joon Ha | Dentist | 1 3 Route 10 #353, Lot No. 2320-new-2, Mangilao, GU 96923 | 2012-03-26 |
| 1255561320 | Kenneth Wayne Bourgeois | Dentist | 226 Chalan San Antonio Ste C, Tamuning, GU 96913-3525 | 2009-07-22 |
| 1598903023 | Stanley York Yasuhiro | Dentist | 667 North Marine Drive, Pacifica Plaza Bldg., Ste. 204, Tamuning, GU 96913 | 2009-01-21 |
| 1053556548 | Antonio M. Rapadas | Dentist | 159 Judge Sabian Street, Ordot, GU 96910 | 2008-12-11 |
| 1821203779 | Ben Malabanan Jr. | Dentist | 2011 Route 16, Manhattan Plaza Building, Suite 201-202, Dededo, GU 96929 | 2007-05-14 |
| 1659412930 | C V Alegria Dds Inc | Dentist | 505 Harmon Loop Road, Suite 300, Dededo, GU 96929 | 2007-02-09 |
| 1457455081 | Michael Anthony Fernandez | Dentist | 148 Loreta St Ste B, Dededo, GU 96929-5376 | 2006-09-12 |
| 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.