DR. JESSE KENDALL JOHNSON


Address: 24502 Pacific Park Dr, 106, Aliso Viejo, CA 92656-3033
Phone: 9498311946

DR. JESSE KENDALL JOHNSON (NPI# 1306003355) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1306003355
Entity Type Individual
Full Name DR. JESSE KENDALL JOHNSON
Credential DDS
Practice Address 24502 Pacific Park Dr
106
Aliso Viejo
CA 92656-3033
Practice Telephone 9498311946
Practice Fax Number 9496432077
Mailing Telephone 9498311946
Mailing Fax Number 9496432077
Enumeration Date 2008-05-19
Last Update Date 2008-05-19
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 122300000X Dentist 21146 CA Dental Providers

Other Providers JESSE JOHNSON

NPI Name Taxonomy Address Enumeration
1528549284 Jesse Taylor Johnson Counselor 1900 Silver Lake Rd, New Brighton, MN 55112-1786 2018-08-22
1851618433 Jesse Johnson Counselor 700 Pinhook Dr, Savannah, TN 38372-2783 2010-04-22
1942830492 Jesse Howard Johnson IIi Case Manager/Care Coordinator 9343 Tech Center Dr, Sacramento, CA 95826-2563 2020-01-23
1235794322 Jesse Alexander Johnson Jr. Internal Medicine 833 Chestnut St Ste 220, Philadelphia, PA 19107-4405 2019-05-05
1538623087 Jesse Johnson Counselor 301 Nw F St, Grants Pass, OR 97526-2051 2019-01-29
1932624178 Jesse Johnson Dentist 9201 Eagle Ranch Rd Nw, Albuquerque, NM 87114-6032 2017-08-09
1043657687 Jesse Johnson Counselor 443 Ne Knott St, Portland, OR 97212-3108 2013-05-22
1528360252 Jesse J Johnson Counselor 130 N 2nd St, Raton, NM 87740-3804 2010-12-01
1003042664 Jesse Thomas Johnson II Physician Assistant 3201 Kings Hwy, Brooklyn, NY 11234-2625 2009-06-09
1811042930 Jesse Paul Johnson Specialist/Technologist 24 Frank Lloyd Wright Dr, Medsport, Ann Arbor, MI 48105-9755 2007-01-25

Office Location

Street Address 24502 PACIFIC PARK DR
106
City ALISO VIEJO
State CA
Zip Code 92656-3033

Providers in the same location

NPI Name Taxonomy Address Enumeration
1942204409 Kamran Ghodsian Specialist 24502 Pacific Park Dr, Suite 105, Aliso Viejo, CA 92656-3033 2005-06-10
1972041077 Howard Goldman Pharmacist 24502 Pacific Park Dr, Aliso Viejo, CA 92656-3033 2017-02-08
1942580014 Matt David Johnson Dentist 24502 Pacific Park Dr, Suite 106, Aliso Viejo, CA 92656-3033 2011-08-22
1679862684 Delia Lupsa Psychiatry & Neurology 24502 Pacific Park Dr, Aliso Viejo, CA 92656-3033 2011-03-30
1285831602 Chad Michael Abbott Family Medicine 24502 Pacific Park Dr, Aliso Viejo, CA 92656-3033 2007-06-29
1043417579 David Christian Peirce Psychologist 24502 Pacific Park Dr, Aliso Viejo, CA 92656-3033 2007-06-28
1801915954 Melanie Zabow Internal Medicine 24502 Pacific Park Dr, Aliso Viejo, CA 92656-3033 2007-03-28
1134220601 Cynthia Elaine Roe Social Worker 24502 Pacific Park Dr, Aliso Viejo, CA 92656-3033 2006-09-26
1154432607 Advanced Ob/gyn & Infertility Medical Group Inc Specialist 24502 Pacific Park Dr, Suite 105, Aliso Viejo, CA 92656-3033 2006-08-31
1659335420 Ronald Steven Mandel Family Medicine 24502 Pacific Park Dr, Aliso Viejo, CA 92656-3043 2006-04-17
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1942818042 Cynthia K Vu Pharmacist 5 Journey 140, Aliso Viejo, CA 92656 2020-07-15
1275175127 Anavah Stephens Student in an Organized Health Care Education/Training Program 53 Southern Hills Dr, Aliso Viejo, CA 92656 2019-10-11
1427567288 Rhonda Cheikh Behavioral Analyst 175 Woodcrest Ln, Aliso Viejo, CA 92656 2017-09-25
1407305253 Iman Ashlee Habbas Social Worker 5 Mareblu # 100, Aliso Viejo, CA 92656 2016-09-21
1023463692 Julie Lynn Vuksic Dietitian, Registered 34 Prairie Falcon, Aliso Viejo, CA 92656 2016-05-02
1326493396 Allen Han Acupuncturist 1 Remington Lane, Aliso Viejo, CA 92656 2016-04-27
1588027288 Shawn Kaye Internal Medicine 26671 Aliso Creek Rd Ste 206, Aliso Viejo, CA 92656 2016-03-30
1528464443 Lauren Harness Occupational Therapy Assistant 2 Enterprise Apt 11117, Aliso Viejo, CA 92656 2014-11-05
1700200417 Cornel Crasnean Dds Dentist 26888 B South La Paz Road, Aliso Viejo, CA 92656 2014-02-17
1215350467 Reza M. Birjandi D.d.s.,a Professional Dental Corporation Dentist 15 Mareblu Suite 360, Aliso Viejo, CA 92656 2014-01-23
Find all providers in zip 92656

Taxonomy Information

Taxonomy Code 122300000X
Grouping Dental Providers
Classification Dentist

Taxonomy Definition

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

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1750996468 Shiva Amanat Dentist 5 Journey Ste 250, Aliso Viejo, CA 92656-5344 2020-09-09
1093199598 Elise Pham Dentist 30 Rosy Finch Ln, Aliso Viejo, CA 92656-1814 2015-07-14
1700200417 Cornel Crasnean Dds Dentist 26888 B South La Paz Road, Aliso Viejo, CA 92656 2014-02-17
1215350467 Reza M. Birjandi D.d.s.,a Professional Dental Corporation Dentist 15 Mareblu Suite 360, Aliso Viejo, CA 92656 2014-01-23
1336494269 Shaghayegh Zekavati Dentist 59 Primrose, Aliso Viejo, CA 92656-3030 2012-07-17
1053633800 Guitta Harb Dentist 26731 Aliso Creek Rd Ste 210, Aliso Viejo, CA 92656-4811 2010-02-22
1164655106 Margaret Claire Huffman Dentist 23412 Pacific Park Dr, Unit 20 L, Aliso Viejo, CA 92656-5373 2009-08-25
1437390143 Ida M Soleimani Dentist 26921 Aliso Creek Rd, Suite B, Aliso Viejo, CA 92656-3395 2009-03-11
1972748457 Jeff M Turner Dentist 2 Journey Ste 107, Aliso Viejo, CA 92656-3372 2008-12-11
1982872768 Khaled Soliman Dentist 5 Rainwood, Aliso Viejo, CA 92656-1439 2008-02-14
Find all providers in ALISO VIEJO

Competitor

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City ALISO VIEJO
Zip Code 92656

Improve Information

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Dataset Information

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.

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