DR. NEIL JOHNSON (NPI# 1568981108) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568981108 |
| Entity Type | Individual |
| Full Name | DR. NEIL JOHNSON |
| Credential | DDS |
| Practice Address |
2855 Summer Oaks Dr Bartlett TN 38134-3812 |
| Practice Telephone | (901) 377-3988 |
| Mailing Telephone | 9013773988 |
| Enumeration Date | 2017-09-14 |
| Last Update Date | 2017-09-14 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 10582 | TN | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538655345 | Neil Raymond Johnson | Assisted Living Facility | 11549 Pokonen Road, Floodwood, MN 55736 | 2018-07-04 |
| 1386089993 | Neil Gordon Johnson | Family Medicine | 14000 Nicollet Ave, Suite 100, Burnsville, MN 55337-5790 | 2013-05-09 |
| 1689922890 | Neil C. Johnson | Nurse Practitioner | 225 Church St, Stoughton, WI 53589 | 2012-08-20 |
| 1457631517 | Neil James Johnson | Dentist | 15290 Pennock Ln, Apple Valley, MN 55124-7163 | 2011-08-22 |
| 1942213194 | Neil D Johnson | Radiology | 3333 Burnet Ave, Ml 5031, Cincinnati, OH 45229-3039 | 2006-08-15 |
| 1144243973 | Neil Rodman Johnson | Orthopaedic Surgery | 1000 W 140th Street, Suite 201, Burnsville, MN 55337 | 2006-07-25 |
| 1740274380 | Neil Grant Johnson | Neurological Surgery | 18300 Us Highway 18, St. Mary Medical Center, Apple Valley, CA 92307-2206 | 2005-09-09 |
| Street Address |
2855 SUMMER OAKS DR |
| City | BARTLETT |
| State | TN |
| Zip Code | 38134-3812 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962636712 | Keith Baugus Fussell | Counselor | 2855 Summer Oaks Dr, Bartlett, TN 38134-3812 | 2009-05-07 |
| 1851878292 | Dr Max S Breazeal Dds Pllc | Dentist | 2855 Summer Oaks Dr, Bartlett, TN 38134-3812 | 2018-07-27 |
| 1104322759 | Katy Leech | Counselor | 2855 Summer Oaks Dr, Bartlett, TN 38134-3812 | 2018-04-03 |
| 1609162692 | Christian Counseling Center of Bartlett, LLC | Community/Behavioral Health | 2855 Summer Oaks Dr, Bartlett, TN 38134-3812 | 2011-06-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841839313 | Tiffany Catrell Williams | Technician | 5312 Yellowood Road, Memphis, TN 38134 | 2020-01-02 |
| 1225676489 | Sandra Kay Branch | Technician | 2010 Joe Brooks Dr, Memphis, TN 38134 | 2019-12-18 |
| 1780151092 | Stephen R Hadley | Pharmacist | 3090 Kirby Whitten Rd, Bartlett, TN 38134 | 2018-10-25 |
| 1760962450 | Delta Transportation Services | Non-emergency Medical Transport (VAN) | 2856 Alfaree St, Bartlett, TN 38134 | 2018-08-21 |
| 1013409853 | Chosen Vessel Ministries | Clinic/Center | 6551 Stage Oaks Drive, Suite 4, Bartlett, TN 38134 | 2018-06-06 |
| 1710495858 | Lifetech Ambulance, LLC | Ambulance | 2874 Shelby St Ste 150, Bartlett, TN 38134 | 2018-01-10 |
| 1144744459 | Robin Coughlin | Counselor | 6553 Honeybrook Rd., Memphis, TN 38134 | 2017-07-28 |
| 1174047484 | Shannon Eric Overley | Behavioral Analyst | 5909 Shelby Oaks Drive Suite #100, Memphis, TN 38134 | 2017-07-28 |
| 1063881928 | Nursing Solutions | Nursing Care | 4311 Fiske Valley Drive, Memphis, TN 38134 | 2015-09-22 |
| 1821479254 | Mid-south Healthnet | Community Based Residential Treatment Facility, Mental Illness | 5909 Shelby Oaks Drive Suite 100, Memphis, TN 38134 | 2015-06-11 |
| Find all providers in zip 38134 | ||||
| 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 |
|---|---|---|---|---|
| 1497164412 | Robert Lynn Finch Jr. | Dentist | 1018 Arnold Dr, Bartlett, TX 76511-4075 | 2014-08-04 |
| 1184051211 | John Katsis | Dentist | 110 S. Oak Avenue, Bartlett, IL 60103 | 2013-10-03 |
| 1639511348 | Robert W Hewitt | Dentist | 7490 Bartlett Corporate Cv W, Bartlett, TN 38133-8922 | 2013-07-23 |
| 1043656929 | Lauren A Weitz Dds In | Dentist | 1118 W Schick Rd, Bartlett, IL 60103-3007 | 2013-05-17 |
| 1003179334 | Joseph Allen Volner | Dentist | 6500 Stage Rd, Suite 1, Bartlett, TN 38134-2882 | 2012-06-21 |
| 1962707620 | Ralph J Derango IIi | Dentist | 104 S Oak Ave, Bartlett, IL 60103-4057 | 2011-01-11 |
| 1891027280 | Vishal Gandhi | Dentist | 836 W Bartlett Rd, Bartlett, IL 60103-4402 | 2010-02-10 |
| 1548593569 | Cheryl Nakfoor | Dentist | 1130 Preserve Trl, Bartlett, IL 60103-1634 | 2009-09-09 |
| 1265680961 | Tara Jill Parker | Dentist | 3105 Kirby Whitten Rd, Bartlett, TN 38134-2822 | 2008-09-05 |
| 1104087956 | James Patrick Ryan | Dentist | 840 W Bartlett Rd, Bartlett, IL 60103-4450 | 2008-06-24 |
| Find all providers in BARTLETT | ||||
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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.