DR. EBENEZER JOHNSON (NPI# 1518002260) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518002260 |
| Entity Type | Individual |
| Full Name | DR. EBENEZER JOHNSON |
| Credential | DDS FAGD |
| Practice Address |
9645 Monte Vista Ave Suite 305 Montclair CA 91763 |
| Practice Telephone | 9096216002 |
| Practice Fax Number | 9096216634 |
| Mailing Telephone | 9096216002 |
| Mailing Fax Number | 9096216634 |
| Enumeration Date | 2007-02-20 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | D36088 | CA | Dental Providers |
| Street Address |
9645 MONTE VISTA AVE SUITE 305 |
| City | MONTCLAIR |
| State | CA |
| Zip Code | 91763 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780628842 | Jamal Naser Abdel-rahman | Family Medicine | 9645 Monte Vista Ave, Suite 302, Montclair, CA 91763-2236 | 2006-06-16 |
| 1073780128 | Drs Ebenezer & Rachel Johnson Dds Inc | Dentist | 9645 Monte Vista Ave, Suite 305, Montclair, CA 91763 | 2008-05-08 |
| 1528194818 | Patients Choice Medical Group Inc | Family Medicine | 9645 Monte Vista Ave, Suite 302, Montclair, CA 91763-2236 | 2007-02-23 |
| 1477663425 | Bharati Ghosh | Pediatrics | 9645 Monte Vista Ave, Suite # 304, Montclair, CA 91763-2236 | 2006-08-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194335760 | Cho Jeon Yun Dental Partnership | Dentist | 9655 Monte Vista Ave #406, Montclair, CA 91763 | 2020-08-07 |
| 1215498811 | Above Urgent Care Center | Emergency Medicine | 8891 N. Central Ave Ste A, Montclair, CA 91763 | 2019-03-27 |
| 1467936906 | Bronislava Kroulik | Behavior Technician | 4950 San Bernardino St Ste 101, Montclair, CA 91763 | 2018-09-20 |
| 1063936110 | Monique Karina Enriquez | Licensed Vocational Nurse | 5580 Moreno St #82, Montclair, CA 91763 | 2017-07-31 |
| 1972961159 | Lacy Pinsky | Specialist/Technologist | 5035 Flora St., Montclair, CA 91763 | 2016-02-03 |
| 1912333790 | Cinta Hospice Care Inc | Hospice Care, Community Based | 5050 Palo Verde Street, Suite 101, Montclair, CA 91763 | 2013-09-24 |
| 1720334626 | Priority One Hospice, Inc. | Hospice Care, Community Based | 4959 Palo Verde St Ste 107c, Montclair, CA 91763 | 2012-07-28 |
| 1689982498 | Paulina Trujillo Perez | Counselor | 9916 Central Ave., Montclair, CA 91763 | 2010-09-15 |
| 1982846499 | Esther Phillips Agepogu | Physician Assistant | 9301 Central Ave., Montclair, CA 91763 | 2009-03-30 |
| 1568633139 | Mahin Nosrati-jahromi | Dentist | 9509 Central Ave #d, Montclair, CA 91763 | 2008-03-21 |
| Find all providers in zip 91763 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598282428 | Yung Chun Chen | Dentist | 12453 Royal Oaks Dr., Montclair, CA 91739 | 2017-08-22 |
| 1992127997 | Rita Deragobian Dds Inc | Dentist | 9509 Central Ave Ste D, Montclair, CA 91763-2400 | 2014-01-09 |
| 1174956528 | Dai Bui Family Dentistry | Dentist | 8851 Central Ave Ste D, Montclair, CA 91763-1658 | 2013-08-20 |
| 1548512205 | John Nguyen | Dentist | 10075 Pradera Ave, Montclair, CA 91763-3033 | 2012-10-04 |
| 1578742953 | Rita T Deragobian | Dentist | 9509 Central Ave. Suite # D, Montclair, CA 91763 | 2007-11-01 |
| 1679775282 | Anca Irina Bejan | Dentist | 403 Bloomfield Ave, Montclair, NJ 07042-3505 | 2007-06-05 |
| 1356554083 | Jody Lee Ross | Dentist | 22 The Crescent, Montclair, NJ 07042 | 2007-05-08 |
| 1326183096 | Charlene Gambino | Dentist | 39 The Cres, Montclair, NJ 07042-2641 | 2007-02-21 |
| 1144360249 | Sumana Anun | Dentist | 5467 Moreno St, Suite A, Montclair, CA 91763-1682 | 2007-02-07 |
| 1528106143 | Jihua Cao | Dentist | 5461 East Holt Blvd., Suite I, Montclair, CA 91763-4500 | 2007-02-03 |
| Find all providers in MONTCLAIR | ||||
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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.