DR. MARC ERNEST JOHNSON (NPI# 1154414084) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154414084 |
| Entity Type | Individual |
| Full Name | DR. MARC ERNEST JOHNSON |
| Credential | DDS |
| Practice Address |
1407 Kresky Ave Centralia WA 98531-8912 |
| Practice Telephone | 3607369397 |
| Practice Fax Number | 3607369397 |
| Mailing Telephone | 3607369397 |
| Mailing Fax Number | 3607369397 |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | DE00009235 | WA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336489533 | Marc Johnson | Physical Therapy Assistant | 4885 Bittercreek Dr, Colorado Springs, CO 80922-2918 | 2013-02-25 |
| 1376840108 | Marc E Johnson | Pharmacist | 11921 N Cantata Dr, Oro Valley, AZ 85737-3767 | 2011-02-14 |
| 1982736963 | Marc N Johnson | Dentist | 25 W 54th St, Suite 1c, New York, NY 10019-5404 | 2007-03-12 |
| 1053483321 | Marc D Johnson | Dentist | 501 Freeport Rd, Fox Chapel Family Dental, Pittsburgh, PA 15215 | 2006-11-14 |
| 1609498385 | Marc Levi Johnson | Student in an Organized Health Care Education/Training Program | 609 Elm St, Waco, TX 76704-2516 | 2020-05-15 |
| 1720546682 | Marc Johnson | Behavior Technician | 303 Wyman St Ste 300, Waltham, MA 02451-1255 | 2019-03-08 |
| 1659728582 | Marc Johnson | Counselor | 1645 Saint Paul St, Rochester, NY 14621-3162 | 2016-05-20 |
| 1487038592 | Marc Johnson | Physical Therapy Assistant | 1245 Church Rd, Wyncote, PA 19095-1800 | 2015-07-17 |
| 1942617147 | Marc C Johnson | Audiologist | 601 N Caroline St Fl 6, Department of Otolaryngology- Head and Neck Surgery, Baltimore, MD 21287-0006 | 2014-07-20 |
| 1215348289 | Marc A Johnson | Social Worker | 2233 State Route 86, Saranac Lake, NY 12983-5644 | 2014-05-13 |
| Street Address |
1407 KRESKY AVE |
| City | CENTRALIA |
| State | WA |
| Zip Code | 98531-8912 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306462205 | Jelisa Renae Thomas | Counselor | 3510 Steelhammer Ln, Centralia, WA 98531 | 2020-06-17 |
| 1205498607 | Jennifer Kristine Mcglynn Paterno | Counselor | 2428 W. Reynods Ave, Centralia, WA 98531 | 2019-07-05 |
| 1538646328 | Adam Jeffrey Moore | Counselor | 3510 Steelhammer Lane, Centralia, WA 98531 | 2018-07-24 |
| 1144706698 | Euijeong Kim | Occupational Therapist | Rehabilitation Therapies, 914 S. Scheuber Rd, Centralia, WA 98531 | 2018-07-18 |
| 1104315266 | Margaret Fowler Floyd | Registered Nurse | Centralia High School, 813 Eshom Road, Centralia, WA 98531 | 2018-05-04 |
| 1124545777 | Samantha Michelle Moody | Speech-Language Pathologist | Centralia School District, 2320 Borst Ave, Centralia, WA 98531 | 2017-08-24 |
| 1821520289 | Alexa Franks | Behavior Technician | 2428 West Reynolds Ave., Centralia, WA 98531 | 2017-04-03 |
| 1023559861 | Brandy Michelle Peterson | Counselor | 135 W. Main Steet, Centralia, WA 98531 | 2017-03-13 |
| 1841738812 | Graceful Healing Naturopathic | Naturopath | 219 N Tower Ave, Suite 304, Centralia, WA 98531 | 2017-02-09 |
| 1043681513 | Angela Naillon | Counselor | 2428 West Reynolds, Centralia, WA 98531 | 2015-10-09 |
| Find all providers in zip 98531 | ||||
| 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 |
|---|---|---|---|---|
| 1003117946 | Mikhai C. Ta, Dds, Ps | Dentist | 1211 S Gold St, Centralia, WA 98531-3715 | 2010-11-09 |
| 1174791990 | Samuel M Smith Dmd Phd PC | Dentist | 1519 East Mccord St, Centralia, IL 62801 | 2008-02-14 |
| 1528265725 | Paulus E Lawson Jr. | Dentist | 120 North Allen Street, Centralia, MO 65240 | 2007-06-29 |
| 1598972283 | Richard Phillip Logullo | Dentist | 1948 E Mccord St, Centralia, IL 62801 | 2007-05-16 |
| 1952516593 | Kerry M Oconnor | Dentist | 2401 Borst Ave, Centralia, WA 98531 | 2007-05-14 |
| 1659591790 | Eugene S Clarke | Dentist | 516 South Locust, Centralia, IL 62801 | 2007-04-30 |
| 1841311024 | Jess W Mikesell | Dentist | 1024 Jonas Ave, Centralia, IL 62801 | 2007-04-03 |
| 1912011149 | Greg Taylor Swartz | Dentist | 102 N Allen St, Centralia, MO 65240-1394 | 2006-08-17 |
| 1134735277 | Kyle O'connor | Dentist | 2401 Borst Ave, Centralia, WA 98531-1411 | 2020-09-22 |
| 1467681999 | Nari Cho | Dentist | 135 S Sycamore St, Centralia, IL 62801-3525 | 2009-07-06 |
| Find all providers in CENTRALIA | ||||
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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.