DR. RICHARD ERIC JOHANSEN (NPI# 1215058052) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215058052 |
| Entity Type | Individual |
| Full Name | DR. RICHARD ERIC JOHANSEN |
| Credential | DDS |
| Practice Address |
7611 Jordan Landing Blvd Suite #100 West Jordan UT 84084-5610 |
| Practice Telephone | 8015630699 |
| Practice Fax Number | 8015630680 |
| Mailing Telephone | 8015630699 |
| Mailing Fax Number | 8015630680 |
| Enumeration Date | 2007-04-02 |
| 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 |
4784287-9922 | UT | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942474192 | Richard Anthony Johansen | Physical Therapist | 2783 Sw 87th Dr., Suite 102, Gainesville, FL 32608-9375 | 2008-04-18 |
| 1144213596 | Richard Kent Johansen | Obstetrics & Gynecology | 1100 N San Francisco St, Ste B, Flagstaff, AZ 86001-3260 | 2005-08-31 |
| Street Address |
7611 JORDAN LANDING BLVD SUITE #100 |
| City | WEST JORDAN |
| State | UT |
| Zip Code | 84084-5610 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619900339 | Donald R Hastie | Nurse Practitioner | 7611 Jordan Landing Blvd, 200, West Jordan, UT 84084-5610 | 2006-07-08 |
| 1043518012 | After Hours Medical Company | Emergency Medical Technician, Basic | 7611 Jordan Landing Blvd, Suite 202, West Jordan, UT 84084-5610 | 2011-03-01 |
| 1497935431 | Scott D Urban Dmd Md PC | Clinic/Center | 7611 Jordan Landing Blvd, Suite 102, West Jordan, UT 84084-5610 | 2007-11-07 |
| 1841225414 | After Hours Medical Company | Emergency Medicine | 7611 Jordan Landing Blvd, Suite 202, West Jordan, UT 84084-5610 | 2006-07-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396351383 | National Vision Inc | Optometrist | 3857 West Campus View Drive, Suite 110, West Jordan, UT 84084 | 2020-09-16 |
| 1386267938 | Parker Brown | Dentist | Jordan Valley Dental, 7452 S Campus Drive, West Jordan, UT 84084 | 2020-05-18 |
| 1952809873 | David D. Allred Counseling & Consulting, LLC | Marriage & Family Therapist | 1365 W Green Hedge Way, West Jordan, UT 84084 | 2018-01-25 |
| 1720514268 | Utah Podiatric Physicians and Surgeons Group LLC | Podiatrist | 7000 S 1561 W, #100, West Jordan, UT 84084 | 2017-05-03 |
| 1245787829 | Josh Sullivan | Social Worker | 7395 S Paddington Rd, West Jordan, UT 84084 | 2016-09-01 |
| 1457752503 | Eaze Bracing | Prosthetic/Orthotic Supplier | 1324 W 7125 S, West Jordan, UT 84084 | 2014-09-09 |
| 1437595030 | Medico Transport System | Ambulance | 7365 S 4570 W, South Jordan, UT 84084 | 2013-05-22 |
| 1659612737 | Lifecare Specialty | Pharmacy | 1646 Sunrise Place Ste B, West Jordan, UT 84084 | 2013-03-14 |
| 1518217942 | Luciane Lopes De Oliveira | Student in an Organized Health Care Education/Training Program | 7601 Redwood Road, West Jordan, UT 84084 | 2012-09-13 |
| 1023368636 | Chelsey Tautkus | Social Worker | 7601 South Redwood Road, Building E, West Jordan, UT 84084 | 2012-09-12 |
| Find all providers in zip 84084 | ||||
| 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 |
|---|---|---|---|---|
| 1376167650 | Michael Roberts | Dentist | 7555 S Center View Ct Ste 201, West Jordan, UT 84084-1971 | 2020-06-03 |
| 1386267938 | Parker Brown | Dentist | Jordan Valley Dental, 7452 S Campus Drive, West Jordan, UT 84084 | 2020-05-18 |
| 1235778960 | Abundant Dental Care, P.C. | Dentist | 5688 W 7800 S Ste 104, West Jordan, UT 84081-5404 | 2019-12-28 |
| 1821501495 | Cleo Stephanides Cheney | Dentist | 8846 South Redwood Rd., Suite N201, West Jordan, UT 84088 | 2017-11-06 |
| 1942757570 | Young Family Dental Wj | Dentist | 4800 W. 8159 S., West Jordan, UT 84088-8213 | 2016-09-01 |
| 1104371160 | Tyler J Canales | Dentist | 7632 S Campus View Dr, Ste 150, West Jordan, UT 84084-5542 | 2016-08-19 |
| 1154705960 | Heston Farnsworth | Dentist | 9217 South Redwood Road, Suite B, West Jordan, UT 84088 | 2015-07-13 |
| 1588043780 | Pdc West Jordan LLC | Dentist | 7478 S Campus View Dr Ste 200, West Jordan, UT 84084-1969 | 2015-05-21 |
| 1750778767 | Andrew Cantwell | Dentist | 3855 7800 South #150, West Jordan, UT 84088 | 2015-04-17 |
| 1235539073 | Frandsen Family Dental Group | Dentist | 3078 W 7800 S Ste 7b, West Jordan, UT 84088-3704 | 2014-08-29 |
| Find all providers in WEST JORDAN | ||||
| City | WEST JORDAN |
| Zip Code | 84084 |
Please comment or provide details below to improve the information on DR. RICHARD ERIC JOHANSEN.
| 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.