DR. JOHN LEE JOHNSON (NPI# 1245280163) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245280163 |
| Entity Type | Individual |
| Full Name | DR. JOHN LEE JOHNSON |
| Credential | D.D.S. |
| Practice Address |
122 Hardees Ln Banner Elk NC 28604-9683 |
| Mailing Address |
Po Box 338 Banner Elk NC 28604-0338 |
| Practice Telephone | 8288984656 |
| Practice Fax Number | 8288984656 |
| Mailing Telephone | 8288984656 |
| Mailing Fax Number | 8288984656 |
| Enumeration Date | 2006-05-11 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
4210 | NC | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 8994609 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013518604 | John William Johnson | Marriage & Family Therapist | 2700 Abbot Kinney Blvd Apt 11, Venice, CA 90291-4772 | 2020-11-02 |
| 1659913945 | John D Johnson | Social Worker | 541 Westcott Dr, Friday Harbor, WA 98250-8112 | 2019-10-08 |
| 1952861577 | John Lucien Johnson | Student in an Organized Health Care Education/Training Program | 3800 Reservoir Rd Nw # C3201, Washington, DC 20007-2196 | 2019-03-20 |
| 1598285603 | John David Johnson | Behavioral Analyst | 401 Avenue G, Matamoras, PA 18336-1303 | 2017-06-21 |
| 1235590969 | John W Johnson | Counselor | 235 Mahogany Dr, Opelousas, LA 70570-1253 | 2016-03-08 |
| 1972985356 | John Wesley Johnson | Pediatrics | 595 Hurricane Shoald Rd Nw, Suite 300, Lawrenceville, GA 30046 | 2015-06-23 |
| 1194113621 | John Johnson | Optometrist | 1169 N Burleson Blvd Ste 131, Burleson, TX 76028-7011 | 2015-01-07 |
| 1366867426 | John Albert Johnson Jr. | Dentist | 3702 Coppercrest Dr, Bryan, TX 77802-5941 | 2014-02-26 |
| 1689016966 | John A Johnson | Licensed Practical Nurse | 9104 N 75th St, Apt. 3a, Milwaukee, WI 53223-2064 | 2013-07-26 |
| 1003189366 | John Joseph Johnson | Dentist | 3510 12th Street, Suite #600, Lewiston, ID 83501 | 2012-02-17 |
| Street Address |
122 HARDEES LN |
| City | BANNER ELK |
| State | NC |
| Zip Code | 28604-9683 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639686736 | Brandon Blake Dds Pa | Clinic/Center | 122 Hardees Ln, Banner Elk, NC 28604-9683 | 2018-01-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184194755 | William H Burrow Dds Pllc Dba High Country Dental Associates | Clinic/Center | 2043 Tynecastle Highway, Banner Elk, NC 28604 | 2018-11-27 |
| 1699268953 | Barium Springs Home for Children | Community/Behavioral Health | 158 Grandfather Home Drive Bldg 2, Banner Elk, NC 28604 | 2018-06-12 |
| 1578973996 | Grandfather Home for Children, Inc. | Community Based Residential Treatment Facility, Mental Illness | 158 Grandfather Home Drive, Banner Elk, NC 28604 | 2014-05-07 |
| 1134417314 | Grandfather Home for Children, Inc. | Community Based Residential Treatment Facility, Mental Illness | 233 Grandfather Home Dr., Banner Elk, NC 28604 | 2011-07-21 |
| 1841598745 | Ivan Smith | Pharmacist | 4059 Nc Hwy 105, Rite Aid Pharmacy, Sugar Mountain, NC 28604 | 2011-03-02 |
| 1043515679 | Grandfather Home for Children, Incorporated | Community/Behavioral Health | 64 Grandfather Home Drive, Banner Elk, NC 28604 | 2011-01-12 |
| 1710133012 | Stephanie Knowles | Social Worker | 158 Grandfather Home for Children Way, Hickory Nut Gap Road, Banner Elk, NC 28604 | 2008-08-18 |
| 1235313909 | Dennis Robert Blair | Respiratory Therapist, Registered | 335 Leslie Ln, Banner Elk, NC 28604 | 2007-12-18 |
| 1780867291 | Robert Jones | Spec/Tech, Cardiovascular | 28 Wildcat Creek Lane, Banner Elk, NC 28604 | 2007-12-07 |
| 1730308172 | Erling L Fredrickson | Social Worker | 158 Grandfather Home Way, Hickory Nut Gap Rd., Banner Elk, NC 28604 | 2007-04-24 |
| Find all providers in zip 28604 | ||||
| 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 |
|---|---|---|---|---|
| 1619578846 | Abbey S. Hawkins, Dds, Pa | Dentist | 113 W Arbor Lln, Eden, NC 27288-5305 | 2020-11-04 |
| 1134728157 | Yonathan Nigatu Dds Pllc | Dentist | 1355 E Broad Ave., Rockingham, NC 28379 | 2020-10-21 |
| 1023616596 | Riccobene and Associates Xli, Dds, P.a. | Dentist | 211 Midway Commons, Suite 116, Bolivia, NC 28422 | 2020-10-15 |
| 1487261947 | Daniel Conti, Dds Pllc | Dentist | 8805 Old Tom Way, Raleigh, NC 27613-5434 | 2020-09-29 |
| 1750997110 | William James Graham Iv | Dentist | Bldg B-6837 Normandy Dr, Fort Bragg, NC 28310-0001 | 2020-09-21 |
| 1194330415 | Drs Koren and Reimels Oxford Pllc | Dentist | 1419 College St Ste B, Oxford, NC 27565-2578 | 2020-09-14 |
| 1467067991 | Drs Boyd Koren and Reimels Pllc | Dentist | 117 Village Rd Ne # H, Leland, NC 28451-7413 | 2020-09-11 |
| 1205440344 | Sahil Bhardwaj | Dentist | 1432 E Main St, Lincolnton, NC 28092-3902 | 2020-09-05 |
| 1639782709 | Courtney Bullard Conn | Dentist | 315 Hwy 55, Mount Olive, NC 28365 | 2020-08-28 |
| 1013529437 | Nicholas Peter Griggs | Dentist | 7150 Market St Ste 130, Wilmington, NC 28411-9888 | 2020-08-18 |
| Find all providers with the same taxonomy | ||||
| City | BANNER ELK |
| Zip Code | 28604 |
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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.