MATTHEW A JOHANSON (NPI# 1194963660) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194963660 |
| Entity Type | Individual |
| Full Name | MATTHEW A JOHANSON |
| Credential | D.M.D. |
| Practice Address |
11178 Huron St Ste 100 Northglenn CO 80234-4370 |
| Mailing Address |
3215 Geneva St Denver CO 80238-3345 |
| Practice Telephone | 3034579617 |
| Practice Fax Number | 3034572405 |
| Mailing Telephone | 3038683064 |
| Enumeration Date | 2009-01-21 |
| Last Update Date | 2013-11-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0300X |
Dentist Specialization: Periodontics |
10169 | CO | Dental Providers |
| Street Address |
11178 HURON ST STE 100 |
| City | NORTHGLENN |
| State | CO |
| Zip Code | 80234-4370 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255876199 | Michelle Butler | Massage Therapist | 11178 Huron St, Northglenn, CO 80234-4370 | 2017-01-02 |
| 1629462072 | Victor Cordero | Psychologist | 11178 Huron St, 202, Northglenn, CO 80234-4370 | 2015-03-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598375115 | Jeanne Weintraub | Counselor | Griffith Centers for Children, 10465 Melody Dr Suite 325, Northglenn, CO 80234 | 2020-08-07 |
| 1992273916 | Physicians Wellness Associates Pllc | Family Medicine | 12213 Pecos Street, Suite 700, Westminster, CO 80234 | 2018-11-07 |
| 1114409638 | Selathia Chestnut | Behavior Technician | 11698 Huron St., #106, Northglenn, CO 80234 | 2018-08-30 |
| 1194271478 | Alyssa Cure | Occupational Therapist | 11160 Huron Street, Suite 200, Northglenn, CO 80234 | 2016-08-28 |
| 1316492911 | The Hearing & Tinnitus Center | Audiologist-Hearing Aid Fitter | 1001 W. 120th Ave Suite 214, Westminster, CO 80234 | 2016-08-24 |
| 1386005791 | Rachel T Kraut | Registered Nurse | 1401 W 122nd Ave Ste 200, Westminster, CO 80234 | 2016-03-11 |
| 1780064469 | Mountain View Dental Northgleen LLC | Dentist | 421 W. 104th Ave, Suite 201, Northglenn, CO 80234 | 2015-06-08 |
| 1770902876 | Lisa Lorenzen | Specialist | 12172 Melody Drive, Westminster, CO 80234 | 2014-04-16 |
| 1306279492 | Jennifer Nicole Dahlke | Speech-Language Pathologist | 12201 Pecos St., Suite 200, Westminster, CO 80234 | 2013-08-13 |
| 1336588490 | America's Best Contacts & Eyeglasses | Technician/Technologist | 521 W 104th Ave, Suite J, Northglenn, CO 80234 | 2013-06-21 |
| Find all providers in zip 80234 | ||||
| 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 |
|---|---|---|---|---|
| 1780948794 | Tyler Dale Borg | Dentist | 11178 Huron St Ste 100, Northglenn, CO 80234-3115 | 2012-06-25 |
| 1780608562 | Michael John Scheidt | Dentist | 11160 Huron St, Suite 101, Northglenn, CO 80234-4377 | 2006-07-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013551530 | Greenwood Village Dental LLC | Dentist | 8000 E Prentice Ave Ste D7, Greenwood Village, CO 80111-2728 | 2019-10-29 |
| 1144878521 | Partners In Periodontics Pllc | Dentist | 1625 Foxtrail Dr Ste 100, Loveland, CO 80538-9089 | 2019-08-29 |
| 1114485331 | Joseph K Will Dds Ms Pllc | Dentist | 10050 W 41st Ave Unit 201, Wheat Ridge, CO 80033-4123 | 2019-03-06 |
| 1215413356 | Brian Lehigh | Dentist | 3400 Penrose Pl Ste 103, Boulder, CO 80301-1809 | 2018-07-12 |
| 1295270916 | Veronica Longville | Dentist | 13533 Huron St Ste 300, Westminster, CO 80234-1160 | 2017-01-04 |
| 1801204532 | Saroj Kumar Saha | Dentist | 682 S Emerson St, Denver, CO 80209-4339 | 2014-07-25 |
| 1053727024 | Mccombs Periodontics LLC | Dentist | 13335 Voyager Pkwy, Suite 130, Colorado Springs, CO 80921-7657 | 2014-07-10 |
| 1992129456 | Daryl Jorge Gasca | Dentist | 6900 W Grant Ranch Blvd, Littleton, CO 80123-5161 | 2014-02-04 |
| 1346663622 | Angie Lee, Dmd, Ms, Pllc | Dentist | 1220 Oak Park Dr Ste 2, Fort Collins, CO 80525-7302 | 2014-01-22 |
| 1629414677 | Colorado Gum Care | Dentist | 899 Hwy 287, Suite 100, Broomfield, CO 80020-7005 | 2013-05-17 |
| Find all providers with the same taxonomy | ||||
| City | NORTHGLENN |
| Zip Code | 80234 |
Please comment or provide details below to improve the information on MATTHEW A JOHANSON.
| 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.