DR. GARY ROBERT JOHNSON (NPI# 1649294927) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1649294927 |
Entity Type | Individual |
Full Name | DR. GARY ROBERT JOHNSON |
Credential | D.D.S. |
Practice Address |
5646 Saint Charles Rd Suite C Berkeley IL 60163-1148 |
Practice Telephone | 7085447474 |
Mailing Telephone | 7085447474 |
Enumeration Date | 2006-07-27 |
Last Update Date | 2015-10-26 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 1223G0001X |
Dentist Specialization: General Practice |
319006856 | IL | Dental Providers |
Y | 1223G0001X |
Dentist Specialization: General Practice |
019017208 | IL | Dental Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1578164265 | Gary L Johnson | Massage Therapist | 222 Columbus Ave Ste 220, San Francisco, CA 94133-4597 | 2020-11-08 |
1689146078 | Gary L Johnson | Marriage & Family Therapist | 1200 Cedar Ln, Tullahoma, TN 37388-2255 | 2018-12-22 |
1083085369 | Gary Johnson | Assisted Living Facility | 1539 W Avenue L12, Lancaster, CA 93534-6930 | 2015-10-13 |
1184063323 | Gary D Johnson | Pharmacist | 1897 E Fall View Dr, Sandy, UT 84093-7058 | 2013-06-20 |
1568709798 | Gary Lewis Johnson | Rehabilitation Practitioner | 9322 Dorrell Ln, 9322 Dorrell Lane, Las Vegas, NV 89149-0172 | 2013-01-08 |
1184997074 | Gary Wayne Johnson | Physical Therapist | 987 Nohunta Ct, Cincinnati, OH 45231-2518 | 2012-02-23 |
1518259811 | Gary A Johnson | Counselor | 4410 Arapahoe Ave Ste 205, Boulder, CO 80303-1155 | 2011-05-05 |
1285931923 | Gary David Johnson | Chiropractor | 413 W Morgan St, Duluth, MN 55811-4432 | 2011-02-15 |
1306156930 | Gary Anthony Johnson II | Private Vehicle | 1430 Dighton Ct, Virginia Beach, VA 23464-8624 | 2010-10-17 |
1417118217 | Gary Michael Johnson II | Audiologist | 7025 E Mcdowell Rd, Suite 1c, Scottsdale, AZ 85257-3328 | 2008-06-24 |
Street Address |
5646 SAINT CHARLES RD SUITE C |
City | BERKELEY |
State | IL |
Zip Code | 60163-1148 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1386095933 | Michael A. Esposito Dds, P.C. | Dentist | 5646 Saint Charles Rd, Suite C, Berkeley, IL 60163-1148 | 2016-06-24 |
1144663139 | Clinical Research Institute, Inc. | Voluntary or Charitable | 5646 Saint Charles Rd, Suite C, Berkeley, IL 60163-1148 | 2013-04-10 |
1063573277 | Michael Anthony Esposito | Dentist | 5646 Saint Charles Rd, Suite C, Berkeley, IL 60163-1148 | 2006-12-12 |
1366466930 | Gary R. Johnson, D.d.s., P.C. | Clinic/Center | 5646 Saint Charles Rd, Suite C, Berkeley, IL 60163-1148 | 2006-07-27 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972685410 | Nikola Ivancevic | Podiatrist | 5646 St Charles Rd, Suite B, Berkeley, IL 60163 | 2006-10-20 |
1194720292 | New Home Respiratory Care, Inc | Durable Medical Equipment & Medical Supplies | 5813 Saint Charles Rd, Berkeley, IL 60163-1031 | 2005-06-15 |
1972856839 | Kathleen Anne Ruffulo | Counselor | 1212 N Ashbel Ave, Berkeley, IL 60163-1118 | 2012-10-16 |
1104197664 | Nadia C Hughes | Pharmacist | 1228 N Irving Ave, Berkeley, IL 60163-1130 | 2012-01-14 |
1861517617 | Berkeley School Dist 87 | Local Education Agency (LEA) | 5400 Saint Charles Rd, Berkeley, IL 60163-1244 | 2007-03-20 |
1922612613 | Mia Violetta Karoutsos | Massage Therapist | 5920 Burr Oak Ave, Berkeley, IL 60163-1425 | 2020-09-01 |
1669597910 | Anton J. Sahattchiev | Physician Assistant | 5722 W Maple Ave, Berkeley, IL 60163-1446 | 2007-03-19 |
1073551990 | Village of Berkeley | Ambulance | 5819 Electric Ave, Berkeley, IL 60163-1522 | 2006-06-03 |
1659401909 | Hines Va Hospital | Military Hospital | 5923 Ridge Ave, Berkeley, IL 60163-1545 | 2007-03-06 |
1316580434 | Positive Health Services | Home Health | 5931 School St, Berkeley, IL 60163-1550 | 2019-10-21 |
Find all providers in zip 60163 |
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 |
---|---|---|---|---|
1578177275 | S H Hokmabadi Inc | Dentist | 3085 Telegraph Ave, Berkeley, CA 94705-2035 | 2020-09-01 |
1053961797 | Andrew Kurtz | Dentist | 1313 Gilman St # A, Berkeley, CA 94706-2431 | 2019-09-15 |
1083138820 | Peter Daniel Fredrickson | Dentist | 2999 Regent St Ste 714, Berkeley, CA 94705-2122 | 2017-08-02 |
1568747400 | S Hokmabadi Dds Inc | Dentist | 3017 Telegraph Ave Ste 300, Berkeley, CA 94705-2049 | 2011-10-11 |
1790007094 | Howard Y Endo | Dentist | 2507 Ashby Ave, Berkeley, CA 94705-2205 | 2010-02-27 |
1477781573 | Jennifer H Cho | Dentist | 2915 Telegraph Ave Ste 303, Berkeley, CA 94705-2030 | 2009-06-26 |
1386842979 | Antonio M. Bistrain | Dentist | 2426 Webster St, Berkeley, CA 94705-2016 | 2007-07-05 |
1861698813 | David Yuezhong Li | Dentist | 3031 Telegraph Ave Ste 136a, Berkeley, CA 94705-2052 | 2007-06-26 |
1053526749 | Marjan Rusta | Dentist | 1313 Gilman St Ste A, Berkeley, CA 94706-2431 | 2007-05-14 |
1508079617 | Igor B. Yudin | Dentist | 2320 Woolsey St Ste 203, Berkeley, CA 94705-1975 | 2007-05-07 |
Find all providers in BERKELEY |
Please comment or provide details below to improve the information on DR. GARY ROBERT JOHNSON.
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.