DR. RICHARD LEWIS JOHNSON SR. (NPI# 1952389629) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1952389629 |
Entity Type | Individual |
Full Name | DR. RICHARD LEWIS JOHNSON SR. |
Credential | DDS, MS |
Practice Address |
121 Main Street East Jordan MI 49727 |
Mailing Address |
Po Box 1040 121 Main Street East Jordan MI 49727-1040 |
Practice Telephone | 2315361000 |
Practice Fax Number | 2315369705 |
Mailing Telephone | 2315361000 |
Mailing Fax Number | 2315369705 |
Enumeration Date | 2006-01-04 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | X |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223E0200X |
Dentist Specialization: Endodontics |
2901010612 | MI | Dental Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1760005441 | Richard Johnson | Technician | 4614 G St Se, Washington, DC 20019-7833 | 2020-05-28 |
1639652423 | Richard Johnson | Counselor | 3203 Star Hill Rd, Mansfield, TX 76063-2375 | 2018-09-08 |
1831695113 | Richard A Johnson | Technician/Technologist | 6081 Route 96 Ste 8, Farmington, NY 14425-1062 | 2018-04-04 |
1346765138 | Richard Johnson Jr. | Driver | 502 Hazelhurst Ave, Richmond, VA 23222-2825 | 2017-08-14 |
1225416506 | Richard Johnson | Internal Medicine | 63 Cottonwood Ln, Briarcliff Manor, NY 10510-2140 | 2015-05-07 |
1407126519 | Richard Scott Johnson | Social Worker | 625 S 300 E, Brigham City, UT 84302-2910 | 2012-01-05 |
1538439641 | Richard Johnson | Respiratory Therapist, Certified | 9142 Wooded Hill Dr, Corona, CA 92883-9345 | 2012-01-05 |
1568698934 | Richard Benjamin Johnson | Anesthesiology | Emory Department of Anesthesiology, 1364 Clifton Road Ne. 3b South, Emory University Hosp, Atlanta, GA 30322-0001 | 2009-05-29 |
1538369400 | Richard Stanley Johnson | Internal Medicine | 10644 Old Hammock Way, Wellington, FL 33414 | 2007-07-19 |
1679782973 | Richard C Johnson | Denturist | 3720 6th Ave, Ste A, Tacoma, WA 98406-4938 | 2007-05-22 |
Street Address |
121 MAIN STREET |
City | EAST JORDAN |
State | MI |
Zip Code | 49727 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1760090278 | William R Desjardins Dds PC | Dentist | 101 Maple Ridge Dr., East Jordan, MI 49727 | 2020-07-21 |
1427534924 | Richard L Mason | Pharmacist | 250 S Lake Street, East Jordan, MI 49727 | 2018-07-17 |
1013550151 | Munson Healthcare Charlevoix Hospital | Clinic/Center | 100 Main Street, East Jordan, MI 49727 | 2019-10-22 |
1558428177 | City of East Jordan | Ambulance | 201 Main Street, East Jordan, MI 49727 | 2007-01-02 |
1861402430 | William B Bice | Pharmacist | 100 Main St., Box 1229, East Jordan, MI 49727-1229 | 2006-08-08 |
1881195824 | Jaleesa O'neal | Physical Therapist | 100 Main St Ste 9, East Jordan, MI 49727-5114 | 2018-02-26 |
1154490241 | Sara Elizabeth Hall | Dentist | 121 Main St, East Jordan, MI 49727-5114 | 2006-11-06 |
1831663475 | Monarch Family Chiropractic LLC | Clinic/Center | 306 Main St, East Jordan, MI 49727-5127 | 2019-01-16 |
1033683677 | Martina Peterson | Chiropractor | 306 Main St, East Jordan, MI 49727-5127 | 2019-01-16 |
1770930943 | Cynthia Ann Pepin | Social Worker | 2765 S M 66, East Jordan, MI 49727-8005 | 2016-05-18 |
Find all providers in zip 49727 |
Taxonomy Code | 1223E0200X |
Grouping | Dental Providers |
Classification | Dentist |
Specialization | Endodontics |
The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions. |
Notes: Source: Council on Dental Education and Licensure, American Dental Association |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1225647514 | Drs Mesh, P.C. | Dentist | 15555 Silver Parkway, Fenton, MI 48430 | 2020-07-23 |
1285252874 | Plymouth Endodontics | Dentist | 9416 S Main St Ste 212, Plymouth, MI 48170-4148 | 2020-07-09 |
1578192712 | Rabban-acho Dental Pllc | Dentist | 38550 Garfield Rd Ste C, Clinton Township, MI 48038-3406 | 2020-04-08 |
1700411378 | Macomb Endodontics | Dentist | 51817 Gratiot Ave, Chesterfield, MI 48051-2014 | 2020-03-04 |
1861950701 | Garfield Road Dental- 2 | Dentist | 15401 Dix Toledo Rd, Southgate, MI 48195-2662 | 2019-03-11 |
1336654102 | Elite Endodontics | Dentist | 1135 S Lapeer Rd Ste A, Lake Orion, MI 48360-1432 | 2017-12-02 |
1255719456 | Norton Shores Dental PC | Dentist | 837 Seminole Rd Ste 100, Norton Shores, MI 49441-6734 | 2015-05-08 |
1396186292 | Ryan Brooks Mcmahan | Dentist | 400 W Main St Ste 106, Gaylord, MI 49735-1870 | 2013-07-09 |
1124461579 | Sarmad Mazin Alyas | Dentist | 37641 Pembroke Ave, Livonia, MI 48152-1050 | 2013-04-16 |
1568704468 | Arnold Harry Gartner | Dentist | 1547 W Long Lake Rd, Bloomfield Hills, MI 48302-1342 | 2013-03-19 |
Find all providers with the same taxonomy |
City | EAST JORDAN |
Zip Code | 49727 |
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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.