DR. DWIGHT JOHNSON (NPI# 1912487505) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912487505 |
| Entity Type | Individual |
| Full Name | DR. DWIGHT JOHNSON |
| Practice Address |
12200 15th St Ste 106 Grandview MO 64030-1772 |
| Mailing Address |
701 E Armour Blvd Apt 506 Kansas City MO 64109-2303 |
| Practice Telephone | 8163988046 |
| Mailing Telephone | 6307679740 |
| Enumeration Date | 2018-08-14 |
| Last Update Date | 2018-08-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
2018021651 | MO | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538464136 | Dwight Johnson | Counselor | 6815 N 68th Street, Milwaukee, WI 53216 | 2011-01-13 |
| 1598738833 | Dwight C Johnson | Internal Medicine | 419 N. Franklin Street, Suite 3, West Chester, PA 19380-4435 | 2006-02-08 |
| 1043297153 | Dwight Layne Johnson | Dentist | 1045 E Stewart Ave Bldg 2012t, 21st Medical Group, Peterson Afb, CO 80914-2900 | 2005-12-29 |
| 1134106743 | Dwight Joseph Johnson | Emergency Medicine | 2706 Herbert St, Fort Smith, AR 72901-4283 | 2005-12-23 |
| 1295800712 | Dwight Hood Johnson | Dentist | 430 W Independence St, Jackson, MO 63755-1203 | 2006-11-21 |
| Street Address |
12200 15TH ST STE 106 |
| City | GRANDVIEW |
| State | MO |
| Zip Code | 64030-1772 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881751816 | Victor R Hwang | Dentist | 12200 15th St Ste 106, Grandview, MO 64030-1772 | 2007-01-02 |
| 1558849414 | Comfort Dental Grandview Aaron Parkin Dmd PC | Dentist | 12200 15th St Ste 106, Grandview, MO 64030-1772 | 2018-08-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477039402 | Garrett Wayne Nicol | Physical Therapist | 7201 E 147th St Ste 120, Grandview, MO 64030 | 2018-07-12 |
| 1235631771 | Rashida Balqees | Family Medicine | 13013 Fuller Ave A, Grandview, MO 64030 | 2018-03-01 |
| 1659890721 | Job One Careers | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 12604 E 3rd Street, Grandview, MO 64030 | 2017-09-11 |
| 1144766080 | Megan Little | Naturopath | 12817 Crystal Ave, Grandview, MO 64030 | 2017-01-17 |
| 1578925095 | Heart of America Pharmacy, LLC | Durable Medical Equipment & Medical Supplies | 4338 E 142nd St, Grandview, MO 64030 | 2016-03-23 |
| 1568856888 | Barbara Lynn Cavanaugh | Nurse Practitioner | 13013 Fullerave, Suite A, Grandview, MO 64030 | 2015-03-25 |
| 1225478886 | Essential Developments L.L.C. | Day Training, Developmentally Disabled Services | 14908 Grand Summit Blvd Apt 202, Grandview, MO 64030 | 2013-06-27 |
| 1154685956 | Colin Tollerton Smith Jr. | Dentist | 13051 S Hwy 71, Grandview, MO 64030 | 2012-06-27 |
| 1841448750 | Concentra Health Services, Inc. | Clinic/Center | 12220 A S Blueridge Blvd., Grand View, MO 64030 | 2008-09-04 |
| 1295919363 | American Current Care PC | Clinic/Center | 12220a South Blueridge Blvd., Grandview, MO 64030 | 2007-12-24 |
| Find all providers in zip 64030 | ||||
| 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 |
|---|---|---|---|---|
| 1952942880 | Valudental Truman Corners Russell LLC | Dentist | 12414 S Us Highway 71, Grandview, MO 64030-1733 | 2019-10-02 |
| 1639391253 | R. Scott Williams, D.d.s., P.s. | Dentist | 201 Euclid Street, Grandview, WA 98930 | 2007-05-03 |
| 1750509972 | Michael Ray Grier | Dentist | 302 Dobbs Street, Grandview, TX 76050 | 2007-04-23 |
| 1194850362 | Denise Y Hogard | Dentist | 12121-p Blue Ridge Blvd, Grandview, MO 64030 | 2007-02-21 |
| 1477695344 | Jay Lance James | Dentist | 201 Euclid St, Grandview, WA 98930-1160 | 2007-02-13 |
| 1548310865 | Trevor S Clemons | Dentist | 13051 S Us Highway 71, My Dentist, Grandview, MO 64030-2525 | 2007-01-11 |
| 1316968175 | Robert Michael Tait | Dentist | 6503 Main St, Grandview, MO 64030 | 2006-07-21 |
| 1306806062 | Derek Charles Gilmore | Dentist | 6400 Main St, Grandview, MO 64030-2697 | 2006-03-27 |
| 1558849414 | Comfort Dental Grandview Aaron Parkin Dmd PC | Dentist | 12200 15th St Ste 106, Grandview, MO 64030-1772 | 2018-08-02 |
| 1154817724 | Guangfan Zhang | Dentist | 13051 S Us Highway 71, Grandview, MO 64030-2525 | 2018-07-07 |
| Find all providers in GRANDVIEW | ||||
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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.