DR. DAVID CLARK JOHNSON (NPI# 1194788141) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194788141 |
| Entity Type | Individual |
| Full Name | DR. DAVID CLARK JOHNSON |
| Credential | D.D.S. |
| Practice Address |
1120 E Elizabeth St Suite G-5 Fort Collins CO 80524-4044 |
| Mailing Address |
2603 Saddle Creek Dr Fort Collins CO 80528-3193 |
| Practice Telephone | 9702215050 |
| Practice Fax Number | 9702215054 |
| Mailing Telephone | 9702044794 |
| Enumeration Date | 2006-04-10 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0300X |
Dentist Specialization: Periodontics |
8786 | CO | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 16728742 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841804044 | David Johnson | Home Health Aide | 4436 Davis Grove Blvd, Olive Branch, MS 38654-5631 | 2020-09-04 |
| 1952803314 | David M Johnson | Specialist | 1345 Nw 15th St, Lincoln City, OR 97367-3327 | 2018-03-01 |
| 1932615333 | David Johnson | Hearing Instrument Specialist | 905 N Cass St, Wabash, IN 46992-1043 | 2017-12-20 |
| 1316457211 | David Johnson | Specialist/Technologist | 14354 Mission Way, Broomfield, CO 80023-4049 | 2017-10-05 |
| 1437519501 | David Hale Johnson | Nurse Practitioner | 169 Doctors Drive, Boone, NC 28607 | 2016-03-02 |
| 1366812141 | David Clayton Johnson | Occupational Therapist | 201 Ridgecrest Dr, Chapel Hill, NC 27514-2104 | 2015-10-06 |
| 1447635529 | David Johnson | Student in an Organized Health Care Education/Training Program | 9666 Kent St, Elk Grove, CA 95624 | 2015-07-30 |
| 1245623628 | David Johnson | Pharmacist | 10223 50th Ave E, Tacoma, WA 98446-5412 | 2015-03-10 |
| 1710377585 | David Jackson Johnson | Counselor | 862 S Main St Ste 2, Brigham City, UT 84302-3300 | 2015-01-30 |
| 1376892828 | David Berek Johnson | Chiropractor | 7559 Kayne Blvd, Columbus, GA 31909-2521 | 2012-08-30 |
| Street Address |
1120 E ELIZABETH ST SUITE G-5 |
| City | FORT COLLINS |
| State | CO |
| Zip Code | 80524-4044 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396736641 | Richard Wilson Lindeberg | Dentist | 1120 E Elizabeth St, Fort Collins, CO 80524-4044 | 2005-11-03 |
| 1144607540 | Melissa Marie Headley | Audiologist | 1120 E Elizabeth St, Ste F101, Fort Collins, CO 80524-4044 | 2015-05-05 |
| 1942595814 | Blake J Hyde | Otolaryngology | 1120 E Elizabeth St, Ste F101, Fort Collins, CO 80524-4044 | 2011-06-18 |
| 1871814236 | Emily K Stevens | Dermatology | 1120 E Elizabeth St, Suite G-2, Fort Collins, CO 80524-4044 | 2010-06-18 |
| 1326232588 | Aaron Thomas Mcgrew | Physician Assistant | 1120 E Elizabeth St, Suite G-2, Fort Collins, CO 80524-4044 | 2007-08-30 |
| 1831239094 | Andrew H Kalajian | Dermatology | 1120 E Elizabeth St, Building G, Suite 2, Fort Collins, CO 80524-4044 | 2007-02-07 |
| 1780690487 | Bret Baack | Dermatology | 1120 E Elizabeth St, G-2, Fort Collins, CO 80524-4044 | 2006-08-01 |
| 1104856061 | Brad Robin Baack | Dermatology | 1120 E Elizabeth St, Suite G-2, Fort Collins, CO 80524-4044 | 2006-07-04 |
| 1104856079 | Tiffany Alaire Serell | Physician Assistant | 1120 E Elizabeth St, Suite G-2, Fort Collins, CO 80524-4044 | 2006-07-04 |
| 1316977374 | Clinton Paul Sayers | Dermatology | 1120 E Elizabeth St, Suite G-2, Fort Collins, CO 80524-4044 | 2006-07-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669084612 | Summitstone Health Partners | Clinic/Center | 1008 Patton St., Fort Collins, CO 80524 | 2020-08-20 |
| 1396355244 | Kidstuff Child and Family Counseling, P.C. | Psychologist | 1006 Robertson St., Ste. 120, Fort Collins, CO 80524 | 2020-08-05 |
| 1215561857 | Transform The Nest LLC | Social Worker | 405 A Matthews Street, Fort Collins, CO 80524 | 2020-02-22 |
| 1326671413 | Laura Ann Doyle | Registered Nurse | 8775 County Road 80.5 # 5, Fort Collins, CO 80524 | 2020-02-17 |
| 1013496835 | Stepheny Nicol Chapple | Psychologist | 701 S College Drive, 201, Fort Collins, CO 80524 | 2018-08-13 |
| 1609372432 | Tracy Jo Close | Counselor | 1031 Robinson Street, Fort Collins, CO 80524 | 2018-04-02 |
| 1831617828 | Rachel Elizabeth Brenner | Counselor | 151 W Lake Rd, Csu Health Network Counseling Services, Fort Collins, CO 80524 | 2017-08-30 |
| 1205366820 | Victoria Marie Sechser | Specialist/Technologist | 1102 Peterson St, Fort Collins, MN 80524 | 2017-06-15 |
| 1013367705 | Smith Street LLC | Day Training, Developmentally Disabled Services | 308 Smith St., Fort Collins, CO 80524 | 2016-06-14 |
| 1811344989 | Ignite Speech-language Services | Clinic/Center | 3921 Celtic Lane, Fort Collins, CO 80524 | 2016-05-18 |
| Find all providers in zip 80524 | ||||
| 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 |
|---|---|---|---|---|
| 1346663622 | Angie Lee, Dmd, Ms, Pllc | Dentist | 1220 Oak Park Dr Ste 2, Fort Collins, CO 80525-7302 | 2014-01-22 |
| 1649395500 | Lloyd George Thomas Jr. | Dentist | 1136 East Stuart St, Suite 4103, Fort Collins, CO 80525-1173 | 2007-03-20 |
| 1881794550 | Leslie J. Paris, D.d.s.,m.s.d.,p.c. | Dentist | 4033 Boardwalk Dr Unit 100, Fort Collins, CO 80525-5937 | 2006-09-23 |
| 1003886995 | David Kimball Walton | Dentist | 4026 S Timberline Rd Unit 120, Fort Collins, CO 80525-6024 | 2006-01-24 |
| 1619957875 | Nicholas David Shumaker | Dentist | 4033 Boardwalk Dr, Suite 100, Fort Collins, CO 80525-5934 | 2006-01-21 |
| 1396736641 | Richard Wilson Lindeberg | Dentist | 1120 E Elizabeth St, Fort Collins, CO 80524-4044 | 2005-11-03 |
| 1760802102 | Merritt Periodontics P.C. | Dentist | 1120 East Elizabeth Street, Suite G5, Fort Collins, CO 80524-4044 | 2014-04-24 |
| 1902179963 | Leslie Jane Paris | Dentist | 4033 Boardwalk Dr Unit 100, Fort Collins, CO 80525-5937 | 2012-02-21 |
| 1972647220 | Todd Rosenzweig | Dentist | 718 S College Ave, Fort Collins, CO 80524-3301 | 2007-02-19 |
| 1023084423 | James C Braun | Dentist | 1136 E Stuart St, Fort Collins, CO 80525-1195 | 2006-02-24 |
| Find all providers in FORT COLLINS | ||||
| City | FORT COLLINS |
| Zip Code | 80524 |
Please comment or provide details below to improve the information on DR. DAVID CLARK JOHNSON.
| 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.