DR. GARY ROBERT JOHNSON


Address: 5646 Saint Charles Rd, Suite C, Berkeley, IL 60163-1148
Phone: 7085447474

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).

Provider Overview

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

Taxonomy

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

Other Providers GARY JOHNSON

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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

Office Location

Street Address 5646 SAINT CHARLES RD
SUITE C
City BERKELEY
State IL
Zip Code 60163-1148

Providers in the same location

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

Providers in the same zip code

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 Information

Taxonomy Code 1223G0001X
Grouping Dental Providers
Classification Dentist
Specialization General Practice

Taxonomy Definition

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

Providers in the same taxonomy and city

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

Competitor

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City BERKELEY
Zip Code 60163

Improve Information

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Dataset Information

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.

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