SAMANTHA JO JOHNSON (NPI# 1083971956) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083971956 |
| Entity Type | Individual |
| Full Name | SAMANTHA JO JOHNSON |
| Practice Address |
1938 Lyda Ave Bowling Green KY 42104-3326 |
| Practice Telephone | 2708435600 |
| Mailing Telephone | 2708435600 |
| Enumeration Date | 2012-04-17 |
| Last Update Date | 2016-09-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 122300000X | Dentist | 9200 | KY | Dental Providers |
| Y | 1223E0200X |
Dentist Specialization: Endodontics |
9200 | KY | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386244101 | Samantha Johnson | Technician | 46 Brigadere Cir, Martinsburg, WV 25404-7006 | 2020-10-30 |
| 1235738816 | Samantha Nicole Johnson | Home Health Aide | 1785 State Route 28 Lot 421, Goshen, OH 45122-9339 | 2020-10-23 |
| 1780293696 | Samantha Jo Johnson | Dietitian, Registered | 2854 Greenbrier Rd, Green Bay, WI 54311-6528 | 2020-07-27 |
| 1124548201 | Samantha K Johnson | Chiropractor | 187 East Main, Ellsworth, WI 54011 | 2017-06-21 |
| 1649704990 | Samantha Ashley Johnson | Clinic/Center | 4750 Bryant Irvin Road N, Fort Worth, TX 76107 | 2017-04-13 |
| 1831647437 | Samantha Johnson | Nurse Practitioner | 450 E Harvard Ave, Denver, CO 80210 | 2016-09-13 |
| 1154778413 | Samantha Jo Johnson | Obstetrics & Gynecology | 232 Aldridge Ave, Summersville, WV 26651-1802 | 2016-05-17 |
| 1922466580 | Samantha Johnson | Dentist | 3719 Old Alabama Rd Ste 400-b, Johns Creek, GA 30022-8692 | 2016-02-10 |
| 1184052383 | Samantha Johnson | Speech-Language Pathologist | 250 Jaguar Trl, Ridgeland, SC 29936-5497 | 2013-10-24 |
| 1174879639 | Samantha Ann Johnson | Specialist | 422 100th St, 1st Floor, Brooklyn, NY 11209-8309 | 2012-08-01 |
| Street Address |
1938 LYDA AVE |
| City | BOWLING GREEN |
| State | KY |
| Zip Code | 42104-3326 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649261850 | Jeffrey M Clark | Dentist | 1938 Lyda Ave, Bowling Green, KY 42104-3326 | 2005-11-04 |
| 1437315272 | Shane Anthony Williams | Dentist | 1938 Lyda Ave, Bowling Green, KY 42104-3326 | 2008-07-31 |
| 1013104892 | Southern Kentucky Oral Surgery Associates Pllc | Dentist | 1938 Lyda Ave, Bowling Green, KY 42104-3326 | 2007-09-26 |
| 1891843504 | Jerry E Cohron | Dentist | 1938 Lyda Ave, Bowling Green, KY 42104-3326 | 2007-01-08 |
| 1164527420 | Tony Brandon Greer | Dentist | 1938 Lyda Ave, Bowling Green, KY 42104-3326 | 2006-09-13 |
| 1316916463 | James Michael Sutton | Dentist | 1938 Lyda Ave, Bowling Green, KY 42104-3326 | 2006-03-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043822042 | Ashley Marie Sterchi | Speech-Language Pathologist | The Kid Spot Center, 944 Fields Dr. #102, Bowling Green, KY 42104 | 2020-08-20 |
| 1093339111 | Rachel Marie Held | Specialist/Technologist | 886c Lynnwood Way, Apt. #7, Bowling Green, KY 42104 | 2020-06-04 |
| 1043846769 | C D S 10 Pharmacy LLC | Pharmacy | 1308 Ashley Circle, Bowling Green, KY 42104 | 2020-03-13 |
| 1073075792 | Applegate Health Services, Inc | Clinic/Center | 5966 Scottsville Road Unit 7, Bowling Green, KY 42104 | 2019-04-02 |
| 1487122099 | Candice Spencer | Specialist/Technologist, Other | 1945 Scottsville Rd B2 Pmb 397, Bowling Green, KY 42104 | 2018-11-13 |
| 1053819904 | Cumberland Foot and Ankle Centers | Orthopaedic Surgery | 1850 Westen Street, Bowling Green, KY 42104 | 2018-01-25 |
| 1841731494 | Olivia Catherine Sanders | Speech-Language Pathologist | 954 Aristides Dr, Bowling Green, KY 42104 | 2017-03-15 |
| 1376901488 | Trung Trinh | Pharmacist | 1530 Campbell Lane, Bowling Green, KY 42104 | 2016-02-03 |
| 1225409121 | Adam Wesley Baird | Optometrist | 760 Campbell Lane, Suite 120, Bowling Green, KY 42104 | 2015-10-18 |
| 1851797898 | Michelle Leigh King | Speech-Language Pathologist | 829 Mandarin Ave., Bowling Green, KY 42104 | 2014-11-18 |
| Find all providers in zip 42104 | ||||
| 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 |
|---|---|---|---|---|
| 1689836439 | Beau John Brasseale | Dentist | 901 Wilkinson Trce, Suite #2, Bowling Green, KY 42103-2483 | 2008-07-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881146595 | Scott Endodontics, Plc | Dentist | 300 Middletown Park Pl, Suite B, Louisville, KY 40243-2513 | 2016-10-28 |
| 1356613277 | Louisville Endodontics | Dentist | 7980 New Lagrange Road, Suite 2, Louisville, KY 40222 | 2012-02-08 |
| 1053683342 | Springhurst Endodontics Psc | Dentist | 3801 Springhurst Blvd Ste 108, Louisville, KY 40241-6137 | 2012-02-01 |
| 1083992887 | Kool Smiles Psc | Dentist | 201 Towne Dr, Elizabethtown, KY 42701-8466 | 2011-07-27 |
| 1215246012 | Anthony C Leung | Dentist | 1605 Wood Thrush Trce, Louisville, KY 40245-6501 | 2010-09-28 |
| 1083848717 | Kevin Andrew Kerley | Dentist | 4570 Pecan Dr Ste D, Paducah, KY 42001-6717 | 2009-05-10 |
| 1568653848 | Kool Smiles, Psc | Dentist | 1211 W Broadway, Louisville, KY 40203-2007 | 2007-08-05 |
| 1720290026 | Metro Louisville Endodontics,llc | Dentist | 3036 Breckenridge Ln Ste 103, Louisville, KY 40220-2196 | 2007-05-07 |
| 1962621151 | Daniel Jess Barton | Dentist | 950 North Mulberry Street, Suite 150, Elizabethtown, KY 42701 | 2007-04-25 |
| 1548483829 | Abigail C Edds | Dentist | 2200 E Parrish Ave Ste 103c, Owensboro, KY 42303 | 2007-04-11 |
| Find all providers with the same taxonomy | ||||
| City | BOWLING GREEN |
| Zip Code | 42104 |
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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.