DR. MATTHEW W JOHNSON (NPI# 1962659631) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962659631 |
| Entity Type | Individual |
| Full Name | DR. MATTHEW W JOHNSON |
| Credential | DMD |
| Practice Address |
7200 Halcyon Summit Drive Montgomery AL 36117-7047 |
| Practice Telephone | (334) 277-3492 |
| Practice Fax Number | 3342779432 |
| Mailing Telephone | (334) 277-3492 |
| Mailing Fax Number | 3342779432 |
| Enumeration Date | 2008-08-25 |
| Last Update Date | 2017-08-04 |
| 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 |
5406 | AL | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | 110607 | 05 | |
| AL | BLUE CROSS AND BLUE SHIELD | 510-49384 | 01 |
| AL | 110617 | 05 | |
| AL | 110619 | 05 | |
| UNITED CONCORDIA | 2105769 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336706514 | Matthew Thomas Johnson | Counselor | 4643 American Legion Rd Se, Iowa City, IA 52240-9057 | 2019-05-23 |
| 1053870717 | Matthew Johnson | Physician Assistant | 900 Ocean Beach Hwy Ste 110, Longview, WA 98632 | 2019-03-12 |
| 1023523016 | Matthew Johnson | Specialist/Technologist | 51 Armstrong Rd, Enfield, CT 06082-2731 | 2017-12-12 |
| 1881105914 | Matthew Alan Johnson | Optometrist | 360 Merrimack St Bldg 91, Lawrence, MA 01843-1740 | 2017-10-16 |
| 1801324991 | Matthew Allen Johnson | Psychologist | 1812 Sumner Ave Ste 1, Aberdeen, WA 98520-4602 | 2017-06-01 |
| 1306377288 | Matthew Johnson | Specialist/Technologist | 713 Mill Grove Dr, Audubon, PA 19403 | 2017-03-23 |
| 1386026003 | Matthew Johnson | Dentist | 72 Ashe St Apt A, Charleston, SC 29403-5964 | 2015-06-18 |
| 1992183057 | Matthew Johnson | Specialist/Technologist | 18220 San Lucas Ct, Brookfield, WI 53045-3870 | 2015-05-11 |
| 1487058582 | Matthew John Johnson | Specialist/Technologist | 27 Whittier Dr, Greenlawn, NY 11740-2609 | 2014-10-17 |
| 1265845945 | Matthew Johnson | Behavioral Analyst | 504 S Hays Ave Apt 5, Carbondale, IL 62901-2631 | 2014-06-10 |
| Street Address |
7200 HALCYON SUMMIT DRIVE |
| City | MONTGOMERY |
| State | AL |
| Zip Code | 36117-7047 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043311392 | Oral and Maxillofacial Surgery Associates | Dentist | 7200 Halcyon Summit Drive, Montgomery, AL 36117-7047 | 2006-09-26 |
| 1912051921 | Jeremiah Jason Parker | Dentist | 7200 Halcyon Summit Drive, Montgomery, AL 36117 | 2007-01-23 |
| 1154412336 | Richard A Kean | Dentist | 7200 Halcyon Summit Drive, Montgomery, AL 36117-7047 | 2006-09-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568061307 | Bhg Lxxiii, LLC | Clinic/Center | 1714 Platt Place, Montgomery, AL 36117 | 2020-10-22 |
| 1952945602 | East Montgomery Pediatrics LLC | Pediatrics | 337 St Lukes Drive, Montgomery, AL 36117 | 2019-11-05 |
| 1417421496 | Tiffany Webb | Specialist | 411 Twain Curve, E, Montgomey, AL 36117 | 2019-01-14 |
| 1013485374 | Montgomery Orthodontic Specialists | Dentist | 5833 Carmichael Road, Montgomery, AL 36117 | 2018-11-05 |
| 1770050791 | Blair Henderson Parks | Speech-Language Pathologist | 7088 University Court, Montgomery, AL 36117 | 2018-10-29 |
| 1629557822 | Evelyn F Crayton | Dietitian, Registered | 124 Elm Dr, Montgomery, AL 36117 | 2018-08-08 |
| 1194203414 | Coopers Mental Healh Consultations | Psychologist | 8743 Ridgestone Ct, Montgomery, AL 36117 | 2018-07-30 |
| 1063912301 | Gardenia Cove Mental Health PC | Psychiatry & Neurology | 6771 Taylor Circle, Montgomery, AL 36117 | 2018-02-13 |
| 1760900294 | Montgomery Auburn Homecare LLC | In Home Supportive Care | 2569 Bell Rd, Montgomery, AL 36117 | 2017-09-05 |
| 1336667120 | Alyssa Bryanna Swisher | Chiropractor | 2026 Berryhill Road, Montgomery, AL 36117 | 2017-09-01 |
| Find all providers in zip 36117 | ||||
| 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 |
|---|---|---|---|---|
| 1750482196 | Donald L Ingalls | Dentist | 7200 Halcyon Summit Dr, Montgomery, AL 36117-7047 | 2006-09-26 |
| 1043311392 | Oral and Maxillofacial Surgery Associates | Dentist | 7200 Halcyon Summit Drive, Montgomery, AL 36117-7047 | 2006-09-26 |
| 1073640785 | Alabama Oral & Maxillofacial Surgery LLC | Dentist | 4590 Woodmere Blvd, Montgomery, AL 36106-2918 | 2007-02-28 |
| 1912051921 | Jeremiah Jason Parker | Dentist | 7200 Halcyon Summit Drive, Montgomery, AL 36117 | 2007-01-23 |
| 1154412336 | Richard A Kean | Dentist | 7200 Halcyon Summit Drive, Montgomery, AL 36117-7047 | 2006-09-27 |
| 1174624506 | George M Bradford | Dentist | 5741 Carmichael Pkwy, Montgomery, AL 36117-2340 | 2006-09-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336632561 | Gardendale Oral Surgery, P.C. | Dentist | 919 Sharit Ave Ste 201, Gardendale, AL 35071 | 2018-06-12 |
| 1275059941 | Birmingham Oms Oral Facial & Implant Surgery LLC | Dentist | 4244 Cahaba Heights Ct Ste 300, Vestavia, AL 35243-5711 | 2017-08-15 |
| 1407267321 | Walter Harris Wilson | Dentist | 2290 Valleydale Rd Ste 100, Hoover, AL 35244-2113 | 2014-05-13 |
| 1104168244 | David W Davis | Dentist | 901 Leighton Ave Ste 401, Anniston, AL 36207-5703 | 2013-03-26 |
| 1942575444 | Medwell Duncan Dental | Dentist | 2705 Pelham Pkwy, Pelham, AL 35124-1704 | 2012-03-15 |
| 1578855078 | David G Minto Jr. | Dentist | 19748 Greeno Rd, Fairhope, AL 36532-3836 | 2011-05-03 |
| 1134359664 | Florence Oral and Maxillofacial Surgery | Dentist | 154 Titan Drive, Florence, AL 35630 | 2009-07-17 |
| 1396991899 | Sam Enoch Pruett Jr. | Dentist | 2816 Bunny Ln Sw, Decatur, AL 35603-4250 | 2008-08-15 |
| 1124236047 | Thomas Hughes Fuqua Jr. | Dentist | 747 N Dean Rd, Auburn, AL 36830-4027 | 2007-05-21 |
| 1710196506 | Lisa Miller | Dentist | 1 Inverness Center Pkwy Ste 200, Birmingham, AL 35242-4865 | 2007-05-21 |
| Find all providers with the same taxonomy | ||||
| City | MONTGOMERY |
| Zip Code | 36117 |
Please comment or provide details below to improve the information on DR. MATTHEW W 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.