DR. THEODORE LYBARGER JOHNSON (NPI# 1306953591) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1306953591 |
Entity Type | Individual |
Full Name | DR. THEODORE LYBARGER JOHNSON |
Credential | DMD |
Practice Address |
555 B Street Springfield OR 97477 |
Practice Telephone | 5417465555 |
Practice Fax Number | 5417467062 |
Mailing Telephone | 5417465555 |
Mailing Fax Number | 5417467062 |
Enumeration Date | 2006-08-24 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 122300000X | Dentist | 3242 | OR | Dental Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1528300191 | Theodore Herbert Johnson | General Practice | 141 S Mountain Dr, New Britain, CT 06052-1511 | 2013-03-21 |
1396983540 | Theodore Robert Johnson | Registered Nurse | 15315 W Hearn Rd, Surprise, AZ 85379-7068 | 2009-01-27 |
1255453759 | Theodore Samuel Johnson | Pediatrics | 1120 Fifteenth Street, Cn-4141a, Augusta, GA 30912 | 2007-04-04 |
1982722625 | Theodore J Johnson | Specialist | 2132 44th Ave Sw, Seattle, WA 98116-2102 | 2007-03-27 |
1972661494 | Theodore Coatany Johnson | Dentist | 4855 Ward Rd, Suite 700, Wheat Ridge, CO 80033 | 2006-12-05 |
1326099227 | Theodore Stanley Johnson | Anesthesiology | Dept. # 1029, Denver, CO 80263-0001 | 2006-05-15 |
1144606724 | Theodore Johnson | Behavioral Analyst | 2300 W Sahara Ave, Suite 800, Las Vegas, NV 89102-4352 | 2015-08-05 |
1417000282 | Theodore Leroy Johnson | Audiologist | 177 Franklin Corner Rd, Ste. 1b, Lawrenceville, NJ 08648-2548 | 2007-01-18 |
1356446777 | Theodore Martin Johnson | Psychologist | 500 Lilly Rd Ne, #205, Olympia, WA 98506-5195 | 2006-09-13 |
1265494983 | Theodore Michael Johnson II | Internal Medicine | 1365 Clifton Rd Ne, Atlanta Va Medical Center, 508/11b, Atlanta, GA 30322-1013 | 2006-04-06 |
Street Address |
555 B STREET |
City | SPRINGFIELD |
State | OR |
Zip Code | 97477 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1508416140 | Chase Michael Collings | Physician Assistant | 960 N 16th St Ste 303, Springfield, OR 97477 | 2019-09-16 |
1174079396 | Amie Flanagan | Occupational Therapy Assistant | 3152 Valentine Court, Springfield, OR 97477 | 2016-08-28 |
1609229590 | Kiernan Davis Snedigar | Counselor | 175 W B St Ste J, Springfield, OR 97477 | 2016-07-15 |
1578914206 | Ryan James Dixon | Counselor | 1923 Centennial Blvd, Springfield, OR 97477 | 2016-06-23 |
1902275464 | Jovonnie Bashaw | Counselor | 1157 5th St, Springfield, OR 97477 | 2015-09-15 |
1053759506 | Norco Inc | Durable Medical Equipment & Medical Supplies | 302 Shelley St Ste 7&8, Springfield, OR 97477 | 2013-06-06 |
1780931634 | Justin Morris | Pharmacist | 1891 Pioneer Parkway East, Springfield, OR 97477 | 2012-08-09 |
1194083105 | Mersedeh Bahr Hosseini | Psychiatry & Neurology | 3311 Riverbend Dr., Neurohospitalists, Springfield, OR 97477 | 2012-04-26 |
1962769679 | Hiro Kawata | Internal Medicine | 3311 Rierbend Dr., Springfield, OR 97477 | 2012-04-19 |
1659662823 | Wendy A Teigen | Counselor | 3995 Marcola Rd., Springfield, OR 97477 | 2011-04-22 |
Find all providers in zip 97477 |
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 |
---|---|---|---|---|
1205434628 | Helina Mesfun | Dentist | 6512 Greenview Ln, Springfield, VA 22152-2918 | 2020-10-16 |
1336754456 | Springfield Dental Partners LLC | Dentist | 498 Harlow Rd Ste 2, Springfield, OR 97477-1339 | 2020-09-15 |
1699392308 | Mahmood Mahmood | Dentist | 6811 Meteor Pl Apt 204, Springfield, VA 22150-4518 | 2020-06-29 |
1124514807 | Myranda Nycole Wolff | Dentist | 2740 Prairie Crossing Dr, Springfield, IL 62711-7156 | 2018-07-06 |
1861987547 | Hovhannes Pahlevanyan | Dentist | 1795 Main St Ste 212, Springfield, MA 01103-1015 | 2018-06-26 |
1205329737 | Camille Renee Tague | Dentist | 2305 S Blackman Rd Ste 100, Springfield, MO 65809-2845 | 2018-06-09 |
1134611932 | George William Vincel | Dentist | 3259 E Sunshine St Ste Q, Springfield, MO 65804-2143 | 2018-06-06 |
1235636531 | Duff Family Dental, LLC | Dentist | 1722 S Glenstone Ave Ste O, Springfield, MO 65804-1513 | 2018-04-12 |
1598263345 | Santarelli & Feller Dental Group | Dentist | 1140 Rickard Road, Suite B, Springfield, IL 62704 | 2018-01-26 |
1265948699 | Brighter Dental Care (springfield) | Dentist | 901 Mountain Avenue, Suite Sc-13, Springfield, NJ 07081 | 2017-12-21 |
Find all providers in SPRINGFIELD |
City | SPRINGFIELD |
Zip Code | 97477 |
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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.