SHERIN C. JOHNSON, D.D.S., INC. (NPI# 1720470479) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720470479 |
| Entity Type | Organization |
| Organization Name | SHERIN C. JOHNSON, D.D.S., INC. |
| Other Organization Name | GREAT SMILES OF LA MESA |
| Practice Address |
5208 Jackson Dr Ste 108 La Mesa CA 91942-7902 |
| Practice Telephone | 6194664448 |
| Practice Fax Number | 6194664449 |
| Mailing Telephone | 6194664448 |
| Mailing Fax Number | 6194664449 |
| Enumeration Date | 2015-03-04 |
| Last Update Date | 2015-03-04 |
| Authorized Official Name | DR. SHERIN C JOHNSON (OWNER) |
| Authorized Official Telephone | 6194664448 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
59889 | CA | Dental Providers |
| Other Name | Type Code |
|---|---|
| Great Smiles of La Mesa | Doing Business As Name - Organization |
| Street Address |
5208 JACKSON DR STE 108 |
| City | LA MESA |
| State | CA |
| Zip Code | 91942-7902 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942859590 | Shevanthi Rebekah Johnson | Dentist | 5208 Jackson Dr Ste 108, La Mesa, CA 91942-7902 | 2019-09-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902453723 | Nicole V Zappelli | Case Manager/Care Coordinator | 4990 William Ave., La Mesa, CA 91942 | 2019-08-26 |
| 1770059834 | Natalie Ngoc Nguyen | Physician Assistant | 5555 Grosmont Center Dr., La Mesa, CA 91942 | 2018-10-16 |
| 1194204297 | Courtney Pietsch | Nurse Practitioner | 8851 Health Center Circle, Suite #603, La Mesa, CA 91942 | 2018-08-09 |
| 1295214773 | Megan Gordon | Behavior Technician | 6116 Horton Dr, La Mesa, CA 91942 | 2018-08-07 |
| 1356836548 | Kimberly Denise Davis | Counselor | 3845 Avocado School Road, El Cajon, CA 91942 | 2018-06-29 |
| 1366932113 | Melanie Joyce Shepard | Physician Assistant | 7051 Alvarado Road, Suite 201, La Mesa, CA 91942 | 2018-05-17 |
| 1871013532 | Low Dental, A.p.c. | Public Health or Welfare | 7872 La Mesa Blvd., La Mesa, CA 91942 | 2017-06-23 |
| 1275069437 | Ardel Ayala | Respiratory Therapist, Registered | 5800 Lake Murray Blvd. Unit 15, La Mesa, CA 91942 | 2017-05-10 |
| 1285007583 | Counseling & Behavioral Specialists | Marriage & Family Therapist | 5520 Wellesley Street, Ste 204, La Mesa, CA 91942 | 2015-11-09 |
| 1285001875 | Emily Shozaki Rizo | Nurse Practitioner | 6285 Meadowcrest Drive, La Mesa, CA 91942 | 2015-08-31 |
| Find all providers in zip 91942 | ||||
| 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 |
|---|---|---|---|---|
| 1871103119 | Ronda Alpatty | Dentist | 10948 Fury Ln, La Mesa, CA 91941-7320 | 2020-08-02 |
| 1427696673 | Wendy Corina Herrera | Dentist | 8881 Fletcher Pkwy Ste 220, La Mesa, CA 91942-3195 | 2019-12-18 |
| 1801442306 | Abraham Yagudaev | Dentist | 5420 Lake Murray Blvd, La Mesa, CA 91942-1561 | 2019-08-12 |
| 1245885102 | Kristin Marie Wehrle | Dentist | 8425 Grant Ave, La Mesa, CA 91941-5303 | 2019-08-07 |
| 1396128658 | Cheryl Tran Dds Inc. | Dentist | 3767 Avocado Blvd, La Mesa, CA 91941-7301 | 2015-07-06 |
| 1841688850 | Dalloul and Altamimi Dental Corp | Dentist | 7557 El Cajon Blvd Ste B, La Mesa, CA 91942-7823 | 2014-12-26 |
| 1649565557 | Jerry Hernandez | Dentist | 7484 University Ave, Ste. 150, La Mesa, CA 91942-6063 | 2011-06-20 |
| 1386862217 | Amable Michael Mauad | Dentist | 5103 Garfield St, La Mesa, CA 91941-5103 | 2007-04-24 |
| 1831314624 | Pear William Karlsgodt | Dentist | 8419 La Mesa Blvd, Suite A, La Mesa, CA 91941-5381 | 2007-04-16 |
| 1487779781 | Robert Behzad Azimi | Dentist | 5565 Grossmont Center Dr Ste 459, La Mesa, CA 91942-3023 | 2007-03-19 |
| Find all providers in LA MESA | ||||
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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.