CANDICE RAE JOHNSON (NPI# 1295941003) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295941003 |
| Entity Type | Individual |
| Full Name | CANDICE RAE JOHNSON |
| Credential | D.D.S. |
| Practice Address |
5512 E Britton Dr Suite 208 Long Beach CA 90815-3146 |
| Practice Telephone | 5625947100 |
| Practice Fax Number | 5625948800 |
| Mailing Telephone | 5625947100 |
| Mailing Fax Number | 5625948800 |
| Enumeration Date | 2007-05-16 |
| Last Update Date | 2013-08-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
49046 | CA | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | TAX IDENTIFICATION NUMBER | 841649733 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356904791 | Candice Johnson | In Home Supportive Care | 51 S Phillips St, Lake Wales, FL 33853-4449 | 2019-04-22 |
| 1700219060 | Candice Johnson | Licensed Practical Nurse | 2 Adams St, Mount Vernon, NY 10550-3504 | 2013-08-09 |
| 1669098190 | Candice Michelle Johnson | Social Worker | 3323 Shattuck Rd Ste 1, Saginaw, MI 48603-3184 | 2020-06-20 |
| 1831641901 | Candice Johnson | Student in an Organized Health Care Education/Training Program | 13000 Bruce B Downs Blvd, Building 68, Office 243, Tampa, FL 33612-4745 | 2016-10-25 |
| 1699172874 | Candice Johnson | Student in an Organized Health Care Education/Training Program | 506 W Jackman St, Lancaster, CA 93534-2531 | 2014-12-03 |
| 1255687992 | Candice Ryesha Johnson | Nurse's Aide | 206 Legion Ave, Lewisburg, TN 37091-2898 | 2012-07-31 |
| 1053479014 | Candice Brown Johnson | Dentist | 1829 Darby Dr Ste A, Florence, AL 35630-2622 | 2006-12-04 |
| 1861577595 | Candice Johnson | Pediatrics | 13123 E 16th Ave, Aurora, CO 80045-7106 | 2006-10-25 |
| Street Address |
5512 E BRITTON DR SUITE 208 |
| City | LONG BEACH |
| State | CA |
| Zip Code | 90815-3146 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619050663 | G. Scott Birnie, D.c., Inc. | Chiropractor | 5512 E Britton Dr, Suite 100, Long Beach, CA 90815-3146 | 2006-10-23 |
| 1255743951 | Lynott Chiropractic, Inc | Acupuncturist | 5512 E Britton Dr, Suite 100, Long Beach, CA 90815-3146 | 2014-05-29 |
| 1730506676 | Steven Kim Dental Corporation | Dentist | 5512 E Britton Dr, 204, Long Beach, CA 90815-3146 | 2014-03-27 |
| 1043651383 | Candice R. Johnson Dds Brian K. Shimizu Dds | Dentist | 5512 E Britton Dr, Suite 208, Long Beach, CA 90815-3146 | 2013-07-15 |
| 1578802898 | Marise Sheth | Dentist | 5512 E Britton Dr, Suite 204, Long Beach, CA 90815-3146 | 2013-02-06 |
| 1518265800 | Vihar Pravin Bhakta Dental Corporation | Dentist | 5512 E Britton Dr, Suite #204, Long Beach, CA 90815-3146 | 2011-03-10 |
| 1154594570 | Nathanial Frederick Lynott | Chiropractor | 5512 E Britton Dr, Suite 100, Long Beach, CA 90815-3146 | 2008-04-07 |
| 1235302837 | Gregory Scott Birnie | Chiropractor | 5512 E Britton Dr, Suite 100, Long Beach, CA 90815-3146 | 2008-04-04 |
| 1699851253 | Lynott Chiropractic Inc | Acupuncturist | 5512 E Britton Dr, Suite 100, Long Beach, CA 90815-3146 | 2006-10-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316596745 | Fatima A. Hernandez | Technician | 2846 N Greenbrier Road, Long Beach, CA 90815 | 2019-09-09 |
| 1376027938 | Abigail Joy Dominguez | Social Worker | 2725 Hackett Ave, Long Beach, CA 90815 | 2018-09-19 |
| 1790271716 | The North Star Center for Marriage and Family Therapy, Inc. | Counselor | Faith Recovery, 2211 Suite C Palo Verde Ave, Long Beach, CA 90815 | 2018-07-02 |
| 1639600844 | Melissa Suzanne Fitzgerald | Nurse Practitioner | 6510 E. Spring Street, Spring Family Medical Group, Long Beach, CA 90815 | 2017-03-21 |
| 1588102818 | Jeff Clement | Registered Nurse | 1824 Stearnlee Avenue, Long Beach, CA 90815 | 2017-02-07 |
| 1376923524 | Edward Carl Woerz | Surgery | 5640 E. Las Lomas St., L.b., CA 90815 | 2015-06-03 |
| 1558765107 | Kendall Cheney Perez | Social Worker | 4142 E Mendez St Unit 433, Long Beach, CA 90815 | 2014-10-10 |
| 1689087769 | Nellie Grace Bell, Ma, Inc. | Marriage & Family Therapist | 6200 E. Spring St., Suite G, Long Beach, CA 90815 | 2014-06-06 |
| 1245652270 | Nguyen and Ghazal Dental Corporation | Dentist | 5533-a East Stearns Street, Long Beach, CA 90815 | 2014-01-10 |
| 1306267182 | Marcia Freeman | Licensed Practical Nurse | 2250 Grand Ave, Long Beach, CA 90815 | 2013-12-23 |
| Find all providers in zip 90815 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942866645 | Mahshid Assadi | Dentist | 4300 Long Beach Blvd Ste 415, Long Beach, CA 90807-2017 | 2019-05-17 |
| 1508363516 | Joemari Salvani | Dentist | 4578 Atlantic Avenue, Long Beach, CA 90807 | 2018-04-07 |
| 1235662842 | Addyson England | Dentist | 6437 E Pacific Coast Hwy Unit A-6, Long Beach, CA 90803-4201 | 2017-04-10 |
| 1346608379 | Anh Hoang Nguyen | Dentist | 2700 N Bellflower Blvd Ste 106, Long Beach, CA 90815-1129 | 2016-02-04 |
| 1477925683 | Cherag Dinshaw Sarkari Dds A Dental Corporation | Dentist | 2306 E 7th St, Long Beach, CA 90804-4619 | 2015-10-27 |
| 1487020293 | Anina Larez | Dentist | 3481 E Curry St, Long Beach, CA 90805-3815 | 2015-08-15 |
| 1174926281 | Jocelynn Vida Sustaita | Dentist | 141 E Willow St, Long Beach, CA 90806-2633 | 2014-10-02 |
| 1245652270 | Nguyen and Ghazal Dental Corporation | Dentist | 5533-a East Stearns Street, Long Beach, CA 90815 | 2014-01-10 |
| 1164859096 | Hyung T Kim Dds Inc. | Dentist | 130 W. Anaheim Street, Long Beach, CA 90813-3113 | 2013-10-10 |
| 1104258805 | Scott Craig Bohlke | Dentist | 5175 E. Pacific Coast Hwy., Suite 401, Long Beach, CA 90804-3313 | 2013-08-05 |
| Find all providers in LONG BEACH | ||||
| City | LONG BEACH |
| Zip Code | 90815 |
Please comment or provide details below to improve the information on CANDICE RAE 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.