DR. MARY CAROL JOHNSON (NPI# 1164546305) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164546305 |
| Entity Type | Individual |
| Full Name | DR. MARY CAROL JOHNSON |
| Credential | DDS |
| Practice Address |
711 High St Des Moines IA 50392-0001 |
| Practice Telephone | 5153622676 |
| Practice Fax Number | 5156136452 |
| Mailing Telephone | 5153622676 |
| Mailing Fax Number | 5156136452 |
| Enumeration Date | 2007-03-16 |
| Last Update Date | 2009-09-29 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 6856 | IA | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | 0209320 | 05 | |
| IA | DELTA DENTAL PROVIDER # | 20932 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356953145 | Mary Ann Johnson | Technician | 165 Everett Dr, Gallipolis Ferry, WV 25515-7005 | 2020-08-21 |
| 1851938385 | Mary Johnson | Technician | 2917 W 19th Ave Trlr 79, Kennewick, WA 99337-2307 | 2019-12-03 |
| 1578106845 | Mary Margaret Johnson | Social Worker | 6614 Shallowford Rd. Suite 250, Lewisville, NC 27023 | 2019-10-19 |
| 1033670807 | Mary Bernece Johnson | Registered Nurse | 5603 Mandalay, Killeen, TX 76549-4597 | 2019-03-26 |
| 1295205342 | Mary Elizabeth Johnson | Speech-Language Pathologist | 502 W Windsor Rd, Champaign, IL 61820-7739 | 2018-12-03 |
| 1255825758 | Mary Elizabeth Johnson | Dietitian, Registered | 3590 Lucille Dr Ste 2600, Cincinnati, OH 45213-2669 | 2018-06-18 |
| 1871000463 | Mary James (jamie) Johnson | Counselor | 1100 Spring Street, Suite 380, Atlanta, GA 30309 | 2018-01-04 |
| 1841735289 | Mary Johnson | Registered Nurse | 14 Cypress Fairway Vlg, Wimberley, TX 78676-1974 | 2016-12-20 |
| 1467827220 | Mary Johnson | Registered Nurse | 308 Keelson Dr, Detroit, MI 48215-3058 | 2015-12-04 |
| 1003286055 | Mary Ann Johnson | Dentist | 320 Comanche St., Kiowa, CO 80117 | 2015-10-02 |
| Street Address |
711 HIGH ST |
| City | DES MOINES |
| State | IA |
| Zip Code | 50392-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962529784 | Raymond L. Webster | Preventive Medicine | 711 High St, Des Moines, IA 50392-9510 | 2007-03-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417558784 | Barono Consulting LLC | Clinic/Center | 23449 28th Ave S, Des Moines, WA 98198-8724 | 2020-11-03 |
| 1154922557 | Forward Consulting LLC | Counselor | 4309 University Ave, Des Moines, IA 50311-3423 | 2020-11-03 |
| 1679174197 | Ryan Hartley | Chiropractor | 900 42nd St, Des Moines, IA 50312-2616 | 2020-11-02 |
| 1700486776 | Innovative Radiology LLC | Radiology | 13409 Douglas Pkwy, Des Moines, IA 50323-2400 | 2020-10-29 |
| 1831798149 | Jesus Soto Rincon | Interpreter | 1824 S 245th Pl, Des Moines, WA 98198-8646 | 2020-10-19 |
| 1346849775 | Phyll Eier | Massage Therapist | 22315 6th Ave S Unit B303, Des Moines, WA 98198-6861 | 2020-10-17 |
| 1104424779 | Marissa Schuster-ramirez | Counselor | 1611 31st St, Des Moines, IA 50311-2809 | 2020-10-15 |
| 1124626320 | Restoration Behavioral Health Center, Inc. | Clinic/Center | 1235 Sampson Street, Des Moines, IA 50316 | 2020-10-12 |
| 1134727324 | Julia Delores Alcantar | Point of Service | 201 Wall Ave, Des Moines, IA 50315-5161 | 2020-10-11 |
| 1154928497 | Yeshua Reentry and Recovery Center Inc | Community Health Worker | 1235 Sampson St, Des Moines, IA 50316 | 2020-10-08 |
| Find all providers in DES MOINES | ||||
| 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 |
|---|---|---|---|---|
| 1982266979 | Dental Connections, Inc. | Dentist | 1111 9th Street, Suite 190, Des Moines, IA 50314 | 2019-07-01 |
| 1932769635 | Grant Mccaulley | Dentist | 1540 High St Ste 201, Des Moines, IA 50309-3112 | 2019-06-17 |
| 1548820368 | Applewhite Dental Iowa PC | Dentist | 1212 Pleasant St Ste 102, Des Moines, IA 50309-1410 | 2019-06-14 |
| 1578944864 | Alexander Stephen Topor | Dentist | 26401 Pacific Hwy S.#201, Des Moines, WA 98198 | 2015-06-12 |
| 1073993564 | John Campbell | Dentist | 4001 6th Ave, Des Moines, IA 50313-3430 | 2015-06-01 |
| 1871998583 | Andrew H. Lee, D.d.s., P.l.l.c. | Dentist | 20956 39th Way S Apt B104, Des Moines, WA 98198-4264 | 2014-10-24 |
| 1639594484 | Tripti Kaul | Dentist | 1345 E. University Avenue, #302, Des Moines, IA 50316 | 2014-03-03 |
| 1497098198 | Andrew Huen Lee | Dentist | 20956 39th Way S, B104, Des Moines, WA 98198-4264 | 2013-04-01 |
| 1386922912 | Georgianne Nicole Nelson | Dentist | 1345 E University Ave # 302, Des Moines, IA 50316-2461 | 2011-08-01 |
| 1558663005 | Joseph Ardwin Schneider | Dentist | 21024 7th Pl S, Des Moines, WA 98198-3237 | 2010-12-03 |
| Find all providers in DES MOINES | ||||
| City | DES MOINES |
| Zip Code | 50392 |
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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.