DR. DWIGHT LAYNE JOHNSON (NPI# 1043297153) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043297153 |
| Entity Type | Individual |
| Full Name | DR. DWIGHT LAYNE JOHNSON |
| Credential | D.M.D., M.S. |
| Practice Address |
1045 E Stewart Ave Bldg 2012t 21st Medical Group Peterson Afb CO 80914-2900 |
| Practice Telephone | 7195561333 |
| Mailing Telephone | 7195561333 |
| Enumeration Date | 2005-12-29 |
| Last Update Date | 2018-03-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0300X |
Dentist Specialization: Periodontics |
DE00010960 | WA | Dental Providers |
| N | 1223P0300X |
Dentist Specialization: Periodontics |
376097-9921 | UT | Dental Providers |
| N | 1223P0300X |
Dentist Specialization: Periodontics |
D-3382 | ID | 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 |
| 1134106743 | Dwight Joseph Johnson | Emergency Medicine | 2706 Herbert St, Fort Smith, AR 72901-4283 | 2005-12-23 |
| 1912487505 | Dwight Johnson | Dentist | 12200 15th St Ste 106, Grandview, MO 64030-1772 | 2018-08-14 |
| 1295800712 | Dwight Hood Johnson | Dentist | 430 W Independence St, Jackson, MO 63755-1203 | 2006-11-21 |
| Street Address |
1045 E STEWART AVE BLDG 2012T 21ST MEDICAL GROUP |
| City | PETERSON AFB |
| State | CO |
| Zip Code | 80914-2900 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356897250 | Kym Littlefield Whitaker | Nurse Practitioner | 110 Ent Avenue, Peterson Afb, CA 80914 | 2016-08-30 |
| 1114322583 | Jessica Charmaine Johnson | Social Worker | 559 Vincent St, Bldg 959, Attn: 21 Omrs/sgow, Peterson Afb, CO 80914 | 2014-10-28 |
| 1306916267 | John Frank Drozd | Psychologist | 21st Medical Group, 559 Vincent Street, Peterson Afb, CO 80914 | 2006-11-08 |
| 1801858865 | Moshe Mark Douglas Wexler | Clinical Neuropsychologist | 110 W. Ent Ave. Bldg 725, 21 Mdos/sgoh, Pafb, CO 80914 | 2006-04-05 |
| 1215902002 | William J Dickson | Dentist | Peterson Afb, Bld 950, Colorado Springs, CO 80914 | 2006-02-23 |
| 1740889773 | Brandon Dean Estes | Dental Hygienist | 1055 Stewart Ave, Bldg 2018, Apo, AA 80914 | 2020-10-21 |
| 1811378607 | Justin Henry Noble | Family Medicine | 559 Vincent St, Colorado Springs, CO 80914 | 2015-06-17 |
| 1225458789 | Brianna Mcmurray | Family Medicine | 559 Vincent St Bldg 959, Colorado Springs, CO 80914 | 2014-04-23 |
| 1720406796 | Beth D Achterhoff | Physical Therapist | 559 Vincent St Bldg 959, Peterson Afb, CO 80914 | 2014-04-07 |
| 1225310162 | Zachary Edward Bishop | Pharmacist | 559 Vincent St, Attn: 21 Mdss/sgsap, Peterson Afb, CO 80914 | 2011-09-16 |
| Find all providers in zip 80914 | ||||
| Taxonomy Code | 1223P0300X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Periodontics |
| That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558573212 | Amy Ann Campbell | Dentist | 1055 E Stewart Ave Bldg 2018, Peterson Afb, CO 80914-2900 | 2007-05-04 |
| 1548257686 | Robert R Burnett | Dentist | 110 W. Ent Ave, Attn: 21 Ds/sggd- Dental Squadron, Peterson Afb, CO 80914-1540 | 2005-10-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013551530 | Greenwood Village Dental LLC | Dentist | 8000 E Prentice Ave Ste D7, Greenwood Village, CO 80111-2728 | 2019-10-29 |
| 1144878521 | Partners In Periodontics Pllc | Dentist | 1625 Foxtrail Dr Ste 100, Loveland, CO 80538-9089 | 2019-08-29 |
| 1114485331 | Joseph K Will Dds Ms Pllc | Dentist | 10050 W 41st Ave Unit 201, Wheat Ridge, CO 80033-4123 | 2019-03-06 |
| 1215413356 | Brian Lehigh | Dentist | 3400 Penrose Pl Ste 103, Boulder, CO 80301-1809 | 2018-07-12 |
| 1295270916 | Veronica Longville | Dentist | 13533 Huron St Ste 300, Westminster, CO 80234-1160 | 2017-01-04 |
| 1801204532 | Saroj Kumar Saha | Dentist | 682 S Emerson St, Denver, CO 80209-4339 | 2014-07-25 |
| 1053727024 | Mccombs Periodontics LLC | Dentist | 13335 Voyager Pkwy, Suite 130, Colorado Springs, CO 80921-7657 | 2014-07-10 |
| 1992129456 | Daryl Jorge Gasca | Dentist | 6900 W Grant Ranch Blvd, Littleton, CO 80123-5161 | 2014-02-04 |
| 1346663622 | Angie Lee, Dmd, Ms, Pllc | Dentist | 1220 Oak Park Dr Ste 2, Fort Collins, CO 80525-7302 | 2014-01-22 |
| 1629414677 | Colorado Gum Care | Dentist | 899 Hwy 287, Suite 100, Broomfield, CO 80020-7005 | 2013-05-17 |
| Find all providers with the same taxonomy | ||||
| City | PETERSON AFB |
| Zip Code | 80914 |
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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.