HAROLD CORTEZ JOHNSON (NPI# 1790980167) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790980167 |
| Entity Type | Individual |
| Full Name | HAROLD CORTEZ JOHNSON |
| Credential | DDS |
| Practice Address |
21761 Ryan Rd Warren MI 48091 |
| Mailing Address |
Po Box 759 Troy MI 48099-0759 |
| Practice Telephone | 5867583620 |
| Practice Fax Number | 5867588279 |
| Mailing Telephone | 5867583620 |
| Mailing Fax Number | 5867588279 |
| Enumeration Date | 2007-06-18 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 013040 | MI | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689048951 | Harold Hazen Johnson Jr. | Physical Therapy Assistant | 17028 Cadbury Cir., Cadbury At Lewes, Lewes, DE 19958 | 2015-11-24 |
| 1831314350 | Harold Johnson Jr. | Specialist | 3794 Martin Luther King Jr Ave Se, Suite 100, Washington, DC 20032-1580 | 2007-04-17 |
| 1770605636 | Harold Floyd Johnson | Dentist | 10510 Montwood, Suite D, El Paso, TX 79935-2703 | 2007-04-04 |
| 1497859482 | Harold V Johnson IIi | Internal Medicine | 800 Eighth Ave, Suite #412, Fort Worth, TX 76104-2618 | 2006-09-11 |
| 1275944761 | Harold E Johnson | Chiropractor | 221 W Broadway St, Monticello, IN 47960-2001 | 2014-05-19 |
| 1720264906 | Harold Patrick Johnson | Psychiatry & Neurology | 7720 Washington St, Port Richey, FL 34668-6553 | 2008-01-17 |
| 1205965951 | Harold Desmond Johnson | Obstetrics & Gynecology | 1508 Division St, Ste 205, Oregon City, OR 97045-1582 | 2007-03-05 |
| 1326156191 | Harold M Johnson | Internal Medicine | 5405 S 500 E Ste 202, Ogden, UT 84405-7419 | 2006-08-29 |
| 1417970104 | Harold Michael Johnson | Social Worker | 445 S Landmark Ave, Bloomington, IN 47403-5004 | 2006-07-25 |
| 1790712560 | Harold Ronald Johnson | Nurse Anesthetist, Certified Registered | 4815 N Assembly St, Spokane, WA 99205-6185 | 2006-06-27 |
| Street Address |
21761 RYAN RD |
| City | WARREN |
| State | MI |
| Zip Code | 48091 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326171166 | Sunshine Dental Center PC | Dentist | 21761 Ryan Rd, Warren, MI 48091 | 2007-03-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548615172 | Amanda Lynn Kelsey | Nurse Practitioner | 21647 Ryan Road, Warren, MI 48091 | 2016-05-02 |
| 1902284474 | Daejana Maldonado | Licensed Practical Nurse | 7519 Toepfer, Warren, MI 48091 | 2015-05-15 |
| 1245637743 | Jerami Roy | Recreation Therapist | 7086 E 9 Mile, Warren, MI 48091 | 2014-11-26 |
| 1265698344 | Amanda Sarah Yousif-mansour | Dentist | 2442 E 10 Mile Road, Warren, MI 48091 | 2008-07-29 |
| 1487709630 | Albert Spickers | General Practice | 26193 Meredith Drive, Warren, MI 48091 | 2007-01-25 |
| 1487706859 | Rita Jean Rose | Physician Assistant | 2104 E. 11 Mile Road, Suite 600, Warren, MI 48091 | 2007-01-17 |
| 1790835452 | Cole Vision Corporation | Eyewear Supplier (Equipment, not the service) | 2000 Ten Mile Rd., Warren, MI 48091 | 2007-01-12 |
| 1942363759 | Carolyn Joan Sucaet | Physical Therapist | 20952 12 Mile Road, Suite 110, St. Clair Shores, FM 48091 | 2006-12-19 |
| 1013070135 | Mcnichols Xray Clinic PC | Radiology | 21230 Dequindre Road, Southeast Michigan Surgical Hospital, Warren, MI 48091 | 2006-12-19 |
| 1720046188 | Superior Air-ground Ambulance Service of Michigan, Inc | Ambulance | 2000 Centerwood Dr, Warren, MI 48091 | 2006-05-03 |
| Find all providers in zip 48091 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932712759 | James Hickey | Dentist | 94 Egypt Hollow Rd, Warren, PA 16365 | 2020-08-31 |
| 1053941849 | North Pond Dental Care | Dentist | 2467 Altantic Hwy, Warren, ME 04864 | 2020-01-21 |
| 1063071249 | Unique Smiles Dental | Dentist | 28315 Hoover Rd, Warren, MI 48093-4151 | 2019-06-11 |
| 1467968941 | Brighter Dental Care (warren) | Dentist | 55 Mountain Blvd Ste 205, Warren, NJ 07059-2627 | 2017-12-20 |
| 1821503269 | Tru Dental Michigan II, Pllc | Dentist | 25900 Dequindre Rd, Warren, MI 48091-6107 | 2017-12-07 |
| 1568975126 | Michele M. Tulak-gorecki | Dentist | 1905 Marlow Dr., Warren, MI 48092-2175 | 2017-11-06 |
| 1154770717 | Zachary Scott Colclasure | Dentist | 470 Bennett Dr Ste A, Warren, IN 46792-9273 | 2016-06-05 |
| 1518316173 | Abigail Jayne Colclasure | Dentist | 470 Bennett Dr Ste C, Warren, IN 46792-9273 | 2016-06-05 |
| 1922454800 | Jeremy Michael Capetillo | Dentist | 8740 E Market St Ste 1, Warren, OH 44484 | 2016-05-10 |
| 1124409313 | Shawn Nguyen | Dentist | 27600 Hoover Rd Ste 1, Warren, MI 48093-7721 | 2015-06-12 |
| Find all providers in WARREN | ||||
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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.