DR. WARREN JOHNSON, DDS (NPI# 1568606283) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1568606283 |
Entity Type | Organization |
Organization Name | DR. WARREN JOHNSON, DDS |
Practice Address |
422 Heritage Place Faribault MN 55021 |
Practice Telephone | 5073345602 |
Practice Fax Number | 5073343488 |
Mailing Telephone | 5073345602 |
Mailing Fax Number | 5073343488 |
Enumeration Date | 2009-04-24 |
Last Update Date | 2009-04-24 |
Authorized Official Name | DR. WARREN D JOHNSON (OWNER/PRACTICE) |
Authorized Official Telephone | 5073345602 |
Authorized Official Credential | DDS |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 122300000X | Dentist | 7748 | MN | Dental Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MN | 950017100 | 05 |
Street Address |
422 HERITAGE PLACE |
City | FARIBAULT |
State | MN |
Zip Code | 55021 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1417050832 | Warren Dwight Johnson | Dentist | 422 Heritage Place, Faribault, MN 55021 | 2006-09-07 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548872831 | Kent William Lundstrom | Pharmacist | 612 4th Street Nw, Faribault, MN 55021 | 2020-08-19 |
1053957357 | M&t Sisters of Serendipity Pllc | Counselor | 212a Centralave, Faribault, MN 55021 | 2019-11-21 |
1639720485 | Reliable Medical Supply LLC | Durable Medical Equipment & Medical Supplies | 200 8th Avenue Nw, Faribault, MN 55021 | 2019-09-24 |
1235663428 | Tanya Borchert | Social Worker | 100 State Avenue, Faribault, MN 55021 | 2017-04-14 |
1235589854 | Bashir Omar I | Interpreter | 2426 Park Ave # 309, Faribault, MN 55021 | 2016-06-14 |
1790150381 | Rainbow United Care Transportation LLC | Non-emergency Medical Transport (VAN) | 1738 Patrick Bay, Faribault, MN 55021 | 2015-12-08 |
1740625938 | Steven James Klapmeier | Family Medicine | 1101 Linden Lane, Mcfffrb Health Service, Faribault, MN 55021 | 2013-05-02 |
1528306040 | Discovery Public School of Faribault | Local Education Agency (LEA) | 126 8th St. Nw, Faribault, MN 55021 | 2013-01-17 |
1164790374 | Emmanuel Douah | Pharmacist | 612 4th Avenue Nw, Faribault, MN 55021 | 2011-12-02 |
1770873937 | Faribault Senior Living LLC | Assisted Living Facility | 843 Faribault Road, Faribault, MN 55021 | 2011-04-08 |
Find all providers in zip 55021 |
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 |
---|---|---|---|---|
1174628622 | Thomas Jason Nomeland | Dentist | 412 Heritage Pl, Faribault, MN 55021-5248 | 2006-09-13 |
1417050832 | Warren Dwight Johnson | Dentist | 422 Heritage Place, Faribault, MN 55021 | 2006-09-07 |
1740397611 | Mark L Ohlsen | Dentist | 505 4th St Nw, Faribault, MN 55021 | 2006-08-24 |
1104814029 | Nicholas Wiese | Dentist | 417 Lincoln Ave Nw, Faribault, MN 55021-4952 | 2005-10-13 |
1730630393 | Southern Cities Community Clinic | Dentist | 400 4th St Nw, Faribault, MN 55021-5031 | 2016-10-19 |
1962840520 | Kathleen Baker Gerber | Dentist | 1575 20th St Nw, Suite 102, Faribault, MN 55021-2930 | 2013-06-05 |
1427298637 | Modern Dental Professionals, Minnesota PC | Dentist | 412 Heritage Pl, Faribault, MN 55021-5248 | 2009-02-27 |
1184847568 | Nomeland Dental LLC | Dentist | 412 Heritage Pl, Faribault, MN 55021-5248 | 2007-04-11 |
1295867562 | Linda M Maytan | Dentist | 400 4th St Nw, Suite A3a, Faribault, MN 55021-5031 | 2007-03-12 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1730788498 | Modern Dental Professionals | Dentist | 676 County Road 10 Ne, Blaine, MN 55434-2329 | 2020-10-22 |
1588261812 | New London Family Dental | Dentist | 15 Ash St Se, New London, MN 56273 | 2020-10-09 |
1164036422 | Lolita Hicks | Dentist | 1290 Salem Rd Sw Ste 10, Rochester, MN 55902-4210 | 2020-09-03 |
1326650961 | Mcgann Family Dental | Dentist | 8981 33rd St N, Lake Elmo, MN 55042-9209 | 2020-08-17 |
1154931988 | Jordan Jeffrey Bolger | Dentist | 13899 Highway 15 S Frontage Rd, Savage, MN 55378-5537 | 2020-08-06 |
1285243733 | Grant R. Sorensen, Dds | Dentist | 1029 3rd Ave Ste 1, Worthington, MN 56187-2399 | 2020-07-29 |
1851909436 | Matthew Rohlf | Dentist | 5378 E Viking Blvd, Wyoming, MN 55092 | 2020-07-20 |
1205444106 | Sidra Zahooruddin | Dentist | 107 Dupont Ave, Nw, Renville, MN 56284 | 2020-07-16 |
1104434380 | Jongseuk Lim | Dentist | 1119 W Frontage Rd, Owatonna, MN 55060-5663 | 2020-07-14 |
1699393942 | Danika Elizabeth Jackson | Dentist | 237 Radio Dr Ste 110, Woodbury, MN 55125-4478 | 2020-07-13 |
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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.