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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 122300000X | Dentist | 21146 | CA | Dental Providers |
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 |
Street Address |
24502 PACIFIC PARK DR 106 |
City | ALISO VIEJO |
State | CA |
Zip Code | 92656-3033 |
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 |
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 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 |
---|---|---|---|---|
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 |
City | ALISO VIEJO |
Zip Code | 92656 |
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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.