JAY A JOHNSON DDS LTD (NPI# 1639398597) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639398597 |
| Entity Type | Organization |
| Organization Name | JAY A JOHNSON DDS LTD |
| Practice Address |
3220 N Bronco St Ste 102 Las Vegas NV 89108-4863 |
| Practice Telephone | 7023962223 |
| Practice Fax Number | 7023967805 |
| Mailing Telephone | 7023962223 |
| Mailing Fax Number | 7023967805 |
| Enumeration Date | 2007-04-25 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | JAY A JOHNSON (OWNER) |
| Authorized Official Telephone | 70239622223 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 2320 | NV | Dental Providers |
| Street Address |
3220 N BRONCO ST STE 102 |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89108-4863 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063039469 | Mission City Community Network, Inc. | Clinic/Center | 3220 N Bronco St, Las Vegas, NV 89108-4862 | 2020-07-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912519380 | Alicia Becerra Meza | Technician | 6585 Lemitar Dr., Las Vegas, NV 89108 | 2020-08-18 |
| 1679181978 | Lisa Nicole Plonsky | Technician, Pathology | 1104 Smith St, Las Vegas, NV 89108 | 2020-07-22 |
| 1376185983 | Yazmin Pelayo | Technician | 1513 Fay Boulevard, Las Vegas, NV 89108 | 2019-10-15 |
| 1619523974 | Maria De Carmen Reynoso Ponce | Technician | 6431 Big Pine Way, Las Vegas, NV 89108 | 2019-08-13 |
| 1669028122 | Maricela Arteaga | Technician | 1425 Lilac Breeze Cr, Las Vegas, NV 89108 | 2019-08-12 |
| 1255808853 | Alexis Nicole Haynes | Health Educator | 2589 North Rancho Drive, Las Vegas, NV 89108 | 2018-11-01 |
| 1720554827 | Total Recovery Bhs | Community/Behavioral Health | 2436 Valparaiso St, Las Vegas, NV 89108 | 2018-10-17 |
| 1083104574 | Melissa Jacqueline Marie Howard | Rehabilitation Counselor | 4428 West Lake Mead Blvd, Las Vegas, NV 89108 | 2018-05-10 |
| 1104315647 | Pinnacle Medical Center | Family Medicine | 3172 N. Rainbow Blvd, Suite# 1176, Las Vegas, NV 89108 | 2018-05-09 |
| 1255845103 | Zaneqwah Shaw | Community/Behavioral Health | 3933 Lazy Pine St Unit 201, Las Vegas, NV 89108 | 2017-11-29 |
| Find all providers in zip 89108 | ||||
| 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 |
|---|---|---|---|---|
| 1831796226 | Thompson Dental Pllc | Dentist | 9859 W. Deer Springs Way, Ste. 110, Las Vegas, NV 89149 | 2020-10-08 |
| 1083227458 | Khurram Fahim | Dentist | 10965 Lavender Hill Dr Ste 120, Las Vegas, NV 89135-2951 | 2020-08-26 |
| 1104437532 | Sean Truong | Dentist | 9636 Sweet Palm Ct, Las Vegas, NV 89178-8279 | 2020-08-10 |
| 1518585785 | Jaclyn Richardson | Dentist | 45 E Silverado Ranch Blvd Ste 100, Las Vegas, NV 89183-3480 | 2020-07-14 |
| 1588283592 | Hyungbin Lee | Dentist | 1001 Shadow Ln # Ms 7422, Las Vegas, NV 89106-4124 | 2020-04-09 |
| 1205478732 | Gb Dental, LLC | Dentist | 6121 W Lake Mead Blvd Ste 115, Las Vegas, NV 89108-2737 | 2019-10-16 |
| 1851946313 | Dae D Hahm | Dentist | 10741 Dobbs Ave, Las Vegas, NV 89166-5112 | 2019-08-01 |
| 1891349239 | Greta De Fatima Barba | Dentist | 3375 E Tropicana Ave Ste F8, Las Vegas, NV 89121-7357 | 2019-07-24 |
| 1316590755 | Kelly Harris | Dentist | 9110 W Tropicana Ave Unit 393, Las Vegas, NV 89147-8764 | 2019-07-23 |
| 1386205045 | Alexis Grace Desilva | Dentist | 8275 S Eastern Ave Ste 101, Las Vegas, NV 89123-2543 | 2019-06-24 |
| Find all providers in LAS VEGAS | ||||
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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.