DR. JEFF JOHNSON (NPI# 1174622807) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174622807 |
| Entity Type | Individual |
| Full Name | DR. JEFF JOHNSON |
| Credential | D.M.D. |
| Practice Address |
507 E Church St Booneville MS 38829-3709 |
| Practice Telephone | 6627282123 |
| Practice Fax Number | 6627281748 |
| Mailing Telephone | 6627282123 |
| Mailing Fax Number | 6627281748 |
| Enumeration Date | 2006-09-21 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
1932-81 | MS | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932266145 | Jeff O Johnson | Dentist | 16 Mills Ave Ste 4, Greenville, SC 29605-4065 | 2007-01-03 |
| 1619062502 | Jeff K Johnson | Chiropractor | 5251 R St, Suite 4, Lincoln, NE 68504-3422 | 2006-10-04 |
| 1265456164 | Jeff Wayne Johnson | Dentist | 1212 Freeway Dr, Reidsville, NC 27320-7170 | 2006-07-26 |
| 1326013673 | Jeff O Johnson | Dentist | 200 Plaza Blvd, Fountain, CO 80817-2504 | 2006-02-21 |
| 1184033771 | Jeff Johnson | Pharmacist | 3798 S 700 E, Suite #7, Salt Lake City, UT 84106-1150 | 2014-08-07 |
| 1831228030 | Jeff Johnson | Case Manager/Care Coordinator | 1622 Donaghey, Conway, AR 72034 | 2007-03-05 |
| 1467540013 | Jeff R Johnson | Counselor | 17707 Studebaker Rd, Cerritos, CA 90703-2640 | 2006-10-10 |
| 1851329056 | Jeff Kent Johnson | Internal Medicine | 2001 W 86th St, Indianapolis, IN 46260-1902 | 2006-06-28 |
| 1760459440 | Jeff Johnson | Ophthalmology | 1903 Broadway St, Paducah, KY 42001-7105 | 2006-03-02 |
| 1235115064 | Jeff L Johnson | Specialist | 7900 Fm 1826, Suite 180, Austin, TX 78737-1409 | 2005-12-22 |
| Street Address |
507 E CHURCH ST |
| City | BOONEVILLE |
| State | MS |
| Zip Code | 38829-3709 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881073716 | Booneville General Dentistry, P.a. | Dentist | 507 E Church St, Booneville, MS 38829-3709 | 2015-05-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962029249 | Ortho Express Holding Company, LLC | Clinic/Center | 608 W Church St, Booneville, MS 38829 | 2020-07-02 |
| 1073142600 | Chelsea Cara Mcmillin | Registered Nurse | 2014 C East Chambers Drive, Booneville, MS 38829 | 2020-04-06 |
| 1396210274 | Hooper Transportation LLC | Private Vehicle | 105 Jacinto Heights, No 2, Booneville, MS 38829 | 2018-10-08 |
| 1699251314 | John L Hooper | Driver | 105 Jacinto Heights No 2, Booneville, MS 38829 | 2018-07-16 |
| 1750744389 | Jeni Ramey | Social Worker | 214 Dogwood Estates, Booneville, MS 38829 | 2016-03-31 |
| 1770944977 | Judy Dillard | Peer Specialist | 2100 Chambers Drive, Booneville, MS 38829 | 2016-03-15 |
| 1508253295 | Mary Grace Hancock | Internal Medicine | 202 N 1st St Ste B, Booneville, MS 38829 | 2015-04-20 |
| 1508042722 | Mary Dean Stone | Registered Nurse | 2100 East Chamberss, Booneville, MS 38829 | 2008-01-17 |
| 1144406430 | Amy Cole | Registered Nurse | 2100 East Chambers, Booneville, MS 38829 | 2008-01-16 |
| 1972715118 | Rita D. Jones | Nurse Practitioner | 1907 South Lake Street, Booneville, MS 38829 | 2007-05-03 |
| Find all providers in zip 38829 | ||||
| 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 |
|---|---|---|---|---|
| 1548673320 | Ken Goodwin, Dmd, Pa | Dentist | 403 N Third St, Booneville, MS 38829-1609 | 2014-06-09 |
| 1053557660 | Booneville Family Dentistry | Dentist | 706 North Courthouse Square, Booneville, KY 41314 | 2009-01-02 |
| 1679627335 | Catherine Johnson Mincy | Dentist | 607 W Church St, Booneville, MS 38829-2647 | 2007-01-22 |
| 1902992043 | Ken G Goodwin | Dentist | 403 North Third Street, Booneville, MS 38829 | 2006-10-05 |
| 1740388446 | Larry Carlton Downs | Dentist | 400 S Second St, Booneville, MS 38829-4311 | 2006-09-20 |
| 1457365165 | David Vincent Zarlingo | Dentist | 1057 W Main St, Booneville, AR 72927-3403 | 2006-07-28 |
| 1871086116 | Alex Carlton Downs | Dentist | 400 S Second St, Booneville, MS 38829-4311 | 2018-06-12 |
| 1881073716 | Booneville General Dentistry, P.a. | Dentist | 507 E Church St, Booneville, MS 38829-3709 | 2015-05-26 |
| 1629299847 | Charles D. Johnson, Dds | Dentist | 607 W Church St, Booneville, MS 38829-2647 | 2007-05-02 |
| 1790801298 | Catherine Johnson Mincy, Dds | Dentist | 607 W Church St, Booneville, MS 38829-2647 | 2007-03-22 |
| Find all providers in BOONEVILLE | ||||
| City | BOONEVILLE |
| Zip Code | 38829 |
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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.