LOCHE MIQUEL JOHNSON (NPI# 1790845659) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790845659 |
| Entity Type | Individual |
| Full Name | LOCHE MIQUEL JOHNSON |
| Credential | DDS |
| Practice Address |
4350 Marconi Ave Suite 200 Sacramento CA 95821-4310 |
| Practice Telephone | 9164834379 |
| Practice Fax Number | 9164834141 |
| Mailing Telephone | 9164834379 |
| Mailing Fax Number | 9164834141 |
| Enumeration Date | 2006-12-11 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
034500 | CA | Dental Providers |
| Street Address |
4350 MARCONI AVE SUITE 200 |
| City | SACRAMENTO |
| State | CA |
| Zip Code | 95821-4310 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265436257 | Matthew Dennis Ryan | Dentist | 4350 Marconi Ave, Suite 300, Sacramento, CA 95821-4379 | 2005-06-08 |
| 1518184647 | Brian Cameron Steele | Dentist | 4350 Marconi Ave, Suite 100, Sacramento, CA 95821 | 2007-04-19 |
| 1962521518 | Maryam Saleh | Dentist | 4350 Marconi Ave, #100, Sacramento, CA 95821-4379 | 2007-03-28 |
| 1215045117 | Ashkan Alizadeh | Dentist | 4350 Marconi Ave, #100, Sacramento, CA 95821-4379 | 2006-08-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972100717 | Denise Renee Landgraf | Licensed Vocational Nurse | 3615 Marconi Ave, Sacramento, CA 95821 | 2020-10-05 |
| 1770053258 | Oksana A Shutkova | Behavior Technician | 2823 El Camino Avenue, Appt #19, Sacramento, CA 95821 | 2018-11-28 |
| 1871063420 | Otto Bock Orthopedic Services LLC | Durable Medical Equipment & Medical Supplies | 3800 Watt Avenue Suite 151, Sacramento, CA 95821 | 2018-11-27 |
| 1386123438 | Rene William Villanueva | Marriage & Family Therapist | 3650 Auburn Blvd Bldg C-208, Sacramento, CA 95821 | 2018-08-09 |
| 1558853135 | Behavioral Health Solutions of The Pacific | Clinic/Center | 2829 Watt Avenue, Suite 200, Sacramento, CA 95821 | 2018-05-31 |
| 1679064091 | Carrissa Jean Angelique Bishop | Counselor | 3550 Watt Avenue, Suite 140, Sacramento, CA 95821 | 2018-05-21 |
| 1164943049 | Vanessa Selene Tinajero | Social Worker | 3615 Macorni Ave, Sacramento, CA 95821 | 2017-06-30 |
| 1316488562 | Lucas Hansen | Student in an Organized Health Care Education/Training Program | 3007 Clairidge Oak Ct, Sacramento, CA 95821 | 2017-03-20 |
| 1215383054 | Mark Brufladt | Physical Therapy Assistant | 3548 Ardmore Rd, Sacramento, CA 95821 | 2016-05-11 |
| 1053782789 | Marianna Jakucska | Marriage & Family Therapist | 2740 Fulton Ave Ste 100c, Sacramento, CA 95821 | 2015-10-07 |
| Find all providers in zip 95821 | ||||
| Taxonomy Code | 1223S0112X |
| Grouping | Dental Providers |
| Classification | Dentist |
| 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 |
|---|---|---|---|---|
| 1588197156 | Alex Antipov Dental Corp | Dentist | 8759 Center Pkwy, Sacramento, CA 95823-7682 | 2017-04-10 |
| 1376961334 | Greggory Bryan Irving | Dentist | 1110 Corporate Way # 200, Sacramento, CA 95831-3875 | 2014-04-06 |
| 1639383672 | Sacramento Oral Surgery | Dentist | 2503 K Street, Sacramento, CA 95816 | 2007-05-09 |
| 1225151426 | Theodore W Klein | Dentist | 7229 S Land Park Dr, Sacramento, CA 95831-3611 | 2007-04-10 |
| 1417002783 | Brian Lee Royse | Dentist | 2503 K St, Sacramento, CA 95816-5101 | 2007-01-24 |
| 1982752358 | Franklin Anthony Niggebrugge | Dentist | 1737 Professional Dr, Sacramento, CA 95825-2104 | 2007-01-08 |
| 1407903131 | Grace Unehae Lee | Dentist | 3604 Fair Oaks Blvd Ste 100, Sacramento, CA 95864-7256 | 2007-01-04 |
| 1962561340 | Reza Fouladi | Dentist | 7551 Timberlake Way Ste 120, Sacramento, CA 95823-5421 | 2006-12-08 |
| 1013075308 | Michael Steven Phelps | Dentist | 4350 Marconi Avenue, Suite 200, Sacramento, CA 95821 | 2006-12-05 |
| 1831121250 | Mark Allan Weiner | Dentist | 2525 K St Ste 101, Sacramento, CA 95816-5114 | 2006-07-07 |
| Find all providers in SACRAMENTO | ||||
| City | SACRAMENTO |
| Zip Code | 95821 |
Please comment or provide details below to improve the information on LOCHE MIQUEL 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.