JACOB JOHNSON (NPI# 1982063228) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982063228 |
| Entity Type | Individual |
| Full Name | JACOB JOHNSON |
| Credential | D.M.D. |
| Practice Address |
5850 E Still Cir Mesa AZ 85206-3618 |
| Practice Telephone | 4802196000 |
| Mailing Telephone | 4802196000 |
| Enumeration Date | 2016-02-15 |
| Last Update Date | 2016-02-15 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588273999 | Jacob Johnson | Military Health Care Provider | 413 Salvo Ct, Holly Ridge, NC 28445-8609 | 2020-07-31 |
| 1952941148 | Jacob Johnson | Counselor | 815 K Street, Lincoln, NE 68508 | 2020-01-15 |
| 1952945354 | Jacob Johnson | Specialist | 3501 Forbes Ave Ste 932, Pittsburgh, PA 15213-3317 | 2019-10-30 |
| 1912568320 | Jacob Johnson | Specialist/Technologist | 116 Elmwood St, Dearborn, MI 48124-1424 | 2019-06-26 |
| 1952811861 | Jacob Johnson | Specialist/Technologist | 33610 Washington St Ne, Cambridge, MN 55008-9153 | 2017-10-05 |
| 1982120895 | Jacob Lynn Johnson | Dentist | Bldg 1200, 149g W Hart St, Sheppard Afb, TX 76311-7631 | 2017-08-22 |
| 1083158554 | Jacob Johnson | Nurse Anesthetist, Certified Registered | 7105 Davis Grey Dr, Asheville, NC 28803-0208 | 2016-12-18 |
| 1174873723 | Jacob Darrell Johnson | Physical Therapist | 1515 North Center Street, Suite 5, Lonoke, AR 72086 | 2012-09-11 |
| 1962760124 | Jacob Daniel Johnson | Surgery | 15411 Park Village Blvd, Taylor, MI 48180-4886 | 2012-04-25 |
| 1457300477 | Jacob Johnson | Otolaryngology | 450 Sutter St Rm 933, Ste 933, San Francisco, CA 94108-3997 | 2006-05-08 |
| Street Address |
5850 E STILL CIR |
| City | MESA |
| State | AZ |
| Zip Code | 85206-3618 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912991480 | Barton E Anderson | Specialist/Technologist | 5850 E Still Cir, Mesa, AZ 85206-3618 | 2005-09-09 |
| 1407462120 | Mariam Saleh | Student in an Organized Health Care Education/Training Program | 5850 E Still Cir, Mesa, AZ 85206-3618 | 2020-09-17 |
| 1659991149 | John Bui | Student in an Organized Health Care Education/Training Program | 5850 E Still Cir, Mesa, AZ 85206-3618 | 2020-04-24 |
| 1023646239 | Claire Cooper | Student in an Organized Health Care Education/Training Program | 5850 E Still Cir, Mesa, AZ 85206-3618 | 2020-04-01 |
| 1942838131 | Melanie Biegler | Student in an Organized Health Care Education/Training Program | 5850 E Still Cir, Mesa, AZ 85206-3618 | 2020-04-01 |
| 1942838008 | Harmandeep Kaur Grewal | Student in an Organized Health Care Education/Training Program | 5850 E Still Cir, Mesa, AZ 85206-3618 | 2020-04-01 |
| 1154955078 | Kayla Cristina Mowatt | Student in an Organized Health Care Education/Training Program | 5850 E Still Cir, Mesa, AZ 85206-3618 | 2020-02-29 |
| 1679104335 | Charis Ka'iulani Darnall | Student in an Organized Health Care Education/Training Program | 5850 E Still Cir, Mesa, AZ 85206-3618 | 2020-01-31 |
| 1275170342 | Jenny Wu | Student in an Organized Health Care Education/Training Program | 5850 E Still Cir, Mesa, AZ 85206-3618 | 2019-12-07 |
| 1235775016 | Rebecca Teich-mcgoldrick | Student in an Organized Health Care Education/Training Program | 5850 E Still Cir, Mesa, AZ 85206-3618 | 2019-11-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720693062 | Inner Balance Counseling LLC | Counselor | 4111 E Auto Valley Drive, Suite 101, Mesa, AZ 85206 | 2020-09-14 |
| 1356978969 | Choices 4 Change Counseling and Coaching LLC | Social Worker | 3707 E Southern Ave., Suite 2027, Mesa, AZ 85206 | 2020-03-24 |
| 1023651288 | Jason Mcclure | Hearing Instrument Specialist | 5540 E Broadway Rd., Mesa, AZ 85206 | 2019-10-21 |
| 1255995361 | Vhs of Phoenix Inc | General Acute Care Hospital | 5750 E. Baseline Rd., Mesa, AZ 85206 | 2019-04-24 |
| 1932682184 | Adam Fishel Frose | Psychologist | 4555 E Inverness Ave Ste 112, Mesa, AZ 85206 | 2018-09-13 |
| 1376024737 | Robyn Kathleen Hall | Psychologist | 4115 East Valley Auto Drive, Suite 208, Mesa, AZ 85206 | 2018-08-23 |
| 1790264984 | Perspective Health, LLC | Clinic/Center | 1959 S. Power Rd, Suite 103, #206, Mesa, AZ 85206 | 2018-08-09 |
| 1033605159 | Rebecca Ann Maro | Nurse Practitioner | 6750 E Baywood Ave Ste 502, Mesa, AZ 85206 | 2018-07-02 |
| 1982195624 | Spark Performance and Physiotherapy | Clinic/Center | 6056 East Basline Road, Suite 147, Mesa, AZ 85206 | 2018-05-29 |
| 1336645993 | Ashley Wright | Audiologist-Hearing Aid Fitter | 1423 S Higley Rd Ste 119, Mesa, AZ 85206 | 2018-04-03 |
| Find all providers in zip 85206 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902410053 | Sanjhavi Agarwal | Student in an Organized Health Care Education/Training Program | 5850 E Still Cir Apt 2102, Mesa, AZ 85206-3618 | 2020-09-05 |
| 1689287542 | Victoria Lyn Slaven | Student in an Organized Health Care Education/Training Program | 1342 S Revere, Mesa, AZ 85210-5124 | 2020-08-28 |
| 1588276349 | Michael Robert Nango | Student in an Organized Health Care Education/Training Program | 5058 E Greenway St, Mesa, AZ 85205-3472 | 2020-08-21 |
| 1821600701 | Landon Merkley | Student in an Organized Health Care Education/Training Program | 120 1/2 N Wilbur, Mesa, AZ 85201-6736 | 2020-08-20 |
| 1487266524 | Brittany Alexandra Day | Student in an Organized Health Care Education/Training Program | 7325 E Mills St, Mesa, AZ 85207-2043 | 2020-08-19 |
| 1386254795 | Geneal Renee Whetten | Student in an Organized Health Care Education/Training Program | 5064 E Dartmouth Cir, Mesa, AZ 85205-6424 | 2020-08-01 |
| 1144830563 | Kaitlin Anne Benga | Student in an Organized Health Care Education/Training Program | 3060 N Ridgecrest Unit 106, Mesa, AZ 85207-1087 | 2020-08-01 |
| 1154958510 | Karzan Salih | Student in an Organized Health Care Education/Training Program | 445 S Dobson Rd Apt 1034, Mesa, AZ 85202-1827 | 2020-03-25 |
| 1689201170 | Joseph Miller | Student in an Organized Health Care Education/Training Program | 5620 E Alder Ave, Mesa, AZ 85206-1506 | 2020-03-24 |
| 1912534637 | Adam Zoltan Dregely | Student in an Organized Health Care Education/Training Program | 1440 S Clearview Ave Ste 104, Mesa, AZ 85209-3381 | 2020-03-24 |
| Find all providers in MESA | ||||
Please comment or provide details below to improve the information on JACOB 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.