DR. KENT E JOHNSON (NPI# 1083741755) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083741755 |
| Entity Type | Individual |
| Full Name | DR. KENT E JOHNSON |
| Credential | D.D.S. |
| Practice Address |
1513 Union Ave Suite 2100 Moberly MO 65270-9407 |
| Practice Telephone | 6602636642 |
| Practice Fax Number | 6602630752 |
| Mailing Telephone | 6602636642 |
| Mailing Fax Number | 6602630752 |
| Enumeration Date | 2007-02-28 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 013322 | MO | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679662837 | Kent Max Johnson | Dentist | 1840 Sun Peak Dr, Park City, UT 84098-6732 | 2006-10-12 |
| 1467466532 | Kent N Johnson | Dentist | 7138 Highland Dr, Suite 220, Salt Lake City, UT 84121-3757 | 2006-07-27 |
| 1437573508 | Kent Alan Johnson | Nurse Practitioner | 716 S Highway 77, Newkirk, OK 74647-7009 | 2014-02-10 |
| 1922393545 | Kent Johnson | Pharmacist | 3301 Highway 10 E, T0658, Moorhead, MN 56560-2516 | 2011-06-10 |
| 1528360518 | Kent Goulding Johnson | Pharmacist | 1414 Main St, Canon City, CO 81212-3906 | 2010-11-23 |
| 1962631903 | Kent Robert Johnson | Family Medicine | 10800 Magnolia Ave, Park Sierra Bldg. 2e, Riverside, CA 92505-3043 | 2009-07-13 |
| 1104079664 | Kent B Johnson | Dentist | 9176 I Ave, Hesperia, CA 92345-6526 | 2008-10-28 |
| 1992957971 | Kent Evan Johnson Jr. | Case Management | 2500 Wilshire Blvd, Los Angeles, CA 90057-4303 | 2008-10-21 |
| 1831315761 | Kent Michael Johnson | Chiropractor | 282 E Maiden St, Washington, PA 15301-4944 | 2007-04-18 |
| 1275677569 | Kent Lawrence Johnson | Pharmacist | 1775 Thompson Rd, Coos Bay, OR 97420-2125 | 2007-02-19 |
| Street Address |
1513 UNION AVE SUITE 2100 |
| City | MOBERLY |
| State | MO |
| Zip Code | 65270-9407 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255338349 | Samuel Livaudois Simpson | Pediatrics | 1513 Union Ave, Suite 2300, Moberly, MO 65270-9407 | 2005-07-05 |
| 1760855738 | Midwest Heart and Vein Center, LLC | Internal Medicine | 1513 Union Ave, Suite 2750, Moberly, MO 65270-9402 | 2015-11-12 |
| 1487869343 | James H Byland | Dentist | 1513 Union Ave, Suite 2100, Moberly, MO 65270-9407 | 2007-05-14 |
| 1669513594 | Moberly Professional Arts Pharmacy Inc. | Pharmacy | 1513 Union Ave, Moberly, MO 65270-9407 | 2007-02-12 |
| 1003967977 | Iqbal Akhtar Yar Khan | Psychiatry & Neurology | 1513 Union Ave, Suite 2800, Moberly, MO 65270-9402 | 2007-01-16 |
| 1417013129 | Moberly Physicians Corp | Family Medicine | 1513 Union Ave, Suite 1600, Moberly, MO 65270-9407 | 2006-12-28 |
| 1659391084 | Jonathon Lee Fallis | Podiatrist | 1513 Union Ave, Suite 1400, Moberly, MO 65270 | 2006-07-20 |
| 1154341592 | Jonathon Fallis Dpm LLC | Podiatrist | 1513 Union Ave, Suite 1400, Moberly, MO 65270 | 2006-07-20 |
| 1568422673 | Housam Soukieh | Internal Medicine | 1513 Union Ave, Suite 1600, Moberly, MO 65270-9402 | 2006-03-23 |
| 1588644488 | Ameena Anees | Internal Medicine | 1513 Union Ave, Ste 1600, Moberly, MO 65270-9407 | 2006-01-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538628052 | Thomas Johnston | Physical Therapist | Thrive Physical Therapy, LLC, 417 E Urbandale Drive, Moberly, MO 65270 | 2019-03-14 |
| 1245709682 | Sam's Prescription Shop, Inc. | Durable Medical Equipment & Medical Supplies | 300 N. Morley Street, Moberly, MO 65270 | 2018-11-15 |
| 1639324585 | Trinidad J. Aguilera | General Practice | 5201 South Morley, Moberly, MO 65270 | 2008-11-19 |
| 1023270170 | Jessica Winn | Internal Medicine | 1513 Union Ave Ste 1500, Moberly, MO 65270 | 2008-06-30 |
| 1629237383 | Heather Ann Lavalley | Physical Therapy Assistant | 1346 S Morley, Moberly, MO 65270 | 2008-06-06 |
| 1265602429 | Mckenzie Prescription Center Inc | Hearing Aid Equipment | 643 N Morley St Ste A, Moberly, MO 65270 | 2008-03-04 |
| 1366624165 | Sharon Kay Steele | Military Hospital | 1510 Highway Jj Lot41, Moberly, MO 65270 | 2007-12-04 |
| 1932241536 | Christian S Tadrus | Pharmacist | 530 E. 24 Highway, (26-39586), Moberly, MO 65270 | 2007-02-12 |
| 1588700140 | Heartland Neurology, LLC | Psychiatry & Neurology | 300 N. Morley, Suite H, Moberly, MO 65270 | 2007-01-30 |
| 1164571519 | John James Oloughlin | Dentist | 1616 N Morely, Ste B, Moberly, MO 65270 | 2007-01-08 |
| Find all providers in zip 65270 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215221445 | Carl R Liebhart | Dentist | 1620 E Rollins St, Moberly, MO 65270-2478 | 2011-06-06 |
| 1164571519 | John James Oloughlin | Dentist | 1616 N Morely, Ste B, Moberly, MO 65270 | 2007-01-08 |
| 1487869343 | James H Byland | Dentist | 1513 Union Ave, Suite 2100, Moberly, MO 65270-9407 | 2007-05-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649883505 | Kameris Austin-biggs | Dentist | 3500 Jeffco Blvd Ste 100, Arnold, MO 63010-6122 | 2020-08-28 |
| 1003428335 | Ralph Thomas Dinges | Dentist | 7124 S Outer 364, O Fallon, MO 63368-7756 | 2020-08-18 |
| 1093326670 | Amani Abdulateef | Dentist | 4016 Lemay Ferry Rd, Saint Louis, MO 63129-1858 | 2020-08-16 |
| 1033728407 | Sarah Giacomini | Dentist | 1520 S 5th St Ste 103, Saint Charles, MO 63303-4127 | 2020-07-30 |
| 1225647704 | James Andrew Kleoppel | Dentist | 3320 Ne Ralph Powell Rd., Lee's Summit, MO 64064 | 2020-07-30 |
| 1912516923 | Richard Houston Rash | Dentist | 303 N Keene St Ste 202-210, Columbia, MO 65201-8050 | 2020-07-26 |
| 1043828627 | Tara Elizabeth Habibi | Dentist | 3422 Utah St Fl 2, Saint Louis, MO 63118-2727 | 2020-07-20 |
| 1053929778 | Travis Barrett | Dentist | 729 Winding Bluffs Dr, Fenton, MO 63026-5564 | 2020-07-20 |
| 1952929614 | Brianna Buchheit | Dentist | 701 E Market Pkwy, Belton, MO 64012 | 2020-07-09 |
| 1467079707 | Amber Arshad | Dentist | 3901 S Bolger Rd, Independence, MO 64055-6779 | 2020-07-02 |
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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.