JOSEPH G JOHANSEN DDS PC (NPI# 1649459926) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649459926 |
| Entity Type | Organization |
| Organization Name | JOSEPH G JOHANSEN DDS PC |
| Practice Address |
3048 E Baseline Rd Suite #105 Mesa AZ 85204-7286 |
| Practice Telephone | 4806328848 |
| Mailing Telephone | 4806328848 |
| Enumeration Date | 2007-11-02 |
| Last Update Date | 2007-11-02 |
| Authorized Official Name | JOSEPH GRANT JOHANSEN (ORAL MAXILLOFACIAL SURGEON) |
| Authorized Official Telephone | 4806321508 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QS0112X |
Clinic/Center Specialization: Oral and Maxillofacial Surgery |
AZ3185 | AZ | Ambulatory Health Care Facilities |
| Street Address |
3048 E BASELINE RD SUITE #105 |
| City | MESA |
| State | AZ |
| Zip Code | 85204-7286 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821091497 | Donald Lynn Griner | Family Medicine | 3048 E Baseline Rd, Ste 109, Mesa, AZ 85204-7287 | 2005-05-27 |
| 1225537582 | Esther Lopez-moryl | Social Worker | 3048 E Baseline Rd, Mesa, AZ 85204-7286 | 2018-02-01 |
| 1104351824 | Living In Balance Counseling, Pllc | Marriage & Family Therapist | 3048 E Baseline Rd, Suite 108, Mesa, AZ 85204-7286 | 2017-05-01 |
| 1881134948 | Bella Rosa Counseling and Consultation Services, LLC | Counselor | 3048 E Baseline Rd, Suite 108, Mesa, AZ 85204-7286 | 2017-03-08 |
| 1154874030 | Allergy Navigators, Pllc | Nurse Practitioner | 3048 E Baseline Rd, 122, Mesa, AZ 85204-7286 | 2016-07-27 |
| 1992153696 | Amp Healthcare Consulting, Pllc | Nurse Practitioner | 3048 E Baseline Rd, 122, Mesa, AZ 85204-7286 | 2016-06-03 |
| 1710347042 | Arizona Family Institute | Social Worker | 3048 E Baseline Rd, Suite 107, Mesa, AZ 85204-7286 | 2016-02-29 |
| 1831596915 | Az Child and Family Psychological Services, Pllc. | Community/Behavioral Health | 3048 E Baseline Rd, Suite 107, Mesa, AZ 85204-7286 | 2014-12-04 |
| 1659775591 | Kristen Nicole Sharma | Physician Assistant | 3048 E Baseline Rd, Suite 120, Mesa, AZ 85204 | 2014-10-21 |
| 1194133181 | Amy Safier | Counselor | 3048 E Baseline Rd, Suite 108, Mesa, AZ 85204-7286 | 2014-07-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194374819 | Luminations Healing Center, LLC | Social Worker | 1237 S. Val Vista Dr. #221, Mesa, AZ 85204 | 2019-09-05 |
| 1881160356 | Wanjiru Landers | Student in an Organized Health Care Education/Training Program | 550 S Linda Circle, Mesa, AZ 85204 | 2018-10-22 |
| 1649754235 | Adam Desnous | Specialist/Technologist | 751 S Daley, Mesa, AZ 85204 | 2018-09-19 |
| 1982128187 | Michael Anthony Jones | Counselor | 1107 North Gilbert Rd, Mesa, AZ 85204 | 2017-07-29 |
| 1295287225 | Scottsdale Healthcare Corp | Family Medicine | 2530 W. Southern Ave, Mesa, AZ 85204 | 2016-10-25 |
| 1427504158 | Richard White | Physician Assistant | 2345 E Southern Ave # 101, Mesa, AZ 85204 | 2016-09-01 |
| 1548716780 | Pain Stop Accident Injury LLC | Chiropractor | 425 E 11th Ave, Mesa, AZ 85204 | 2016-08-28 |
| 1154704252 | Glenn Taylor Lesueur | Dentist | 1056 S. Val Vista Dr., Suite 1, Mesa, AZ 85204 | 2015-07-07 |
| 1073932513 | Naomi Devine | Nurse Practitioner | 1840 South Stapley Drive, Suite 101, Mesa, AZ 85204 | 2014-04-14 |
| 1609292531 | John Kamau | Counselor | 1060 S Lobin Ln, Mesa, AZ 85204 | 2014-03-17 |
| Find all providers in zip 85204 | ||||
| Taxonomy Code | 261QS0112X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Oral and Maxillofacial Surgery |
| The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235440504 | Oral and Maxillofacial Associates of Arizona | Clinic/Center | 2855 E Brown Rd, Suite 15, Mesa, AZ 85213-4213 | 2010-07-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942703657 | Advanced Implant and Oral Surgery | Clinic/Center | 1325 W 16th St Ste 3, Yuma, AZ 85364-4496 | 2018-03-09 |
| 1679822761 | Southern Arizona Oral & Maxillofacial Surgery, P.C. | Clinic/Center | 6369 E. Tanque Verde Rd., Suite 230, Tucson, AZ 85715-3834 | 2012-09-05 |
| 1164744009 | Midwestern University | Clinic/Center | 5855 W Utopia Road, Glendale, AZ 85308-6500 | 2010-02-19 |
| 1619130465 | Peter A Bassett, Dmd PC | Clinic/Center | 9035 N 43rd Ave Ste C, Phoenix, AZ 85051-3265 | 2008-07-02 |
| 1477063881 | Sonoma Oral & Facial Surgery, Pllc | Clinic/Center | 7400 S Power Rd Ste 136, Gilbert, AZ 85297-9284 | 2017-10-11 |
| 1063893295 | Pinnacle Peak Oral Surgery, Pllc | Clinic/Center | 8575 E Princess Dr, Suite #217, Scottsdale, AZ 85255-5483 | 2015-06-12 |
| 1598152506 | Schneider Oral Surgery Pllc | Clinic/Center | 11030 N Tatum Blvd, F 100, Phoenix, AZ 85028-6073 | 2015-04-17 |
| 1538275011 | Northwest Valley Oral and Facial Surgery PC | Clinic/Center | 16936 W Bell Rd Ste 203, Surprise, AZ 85374-8949 | 2006-08-21 |
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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.