DR. SAMUEL MEREDITH JOHNSON JR. (NPI# 1356406128) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356406128 |
| Entity Type | Individual |
| Full Name | DR. SAMUEL MEREDITH JOHNSON JR. |
| Credential | DMD |
| Practice Address |
2946 Hwy 62 Bldg B Jeffersonville IN 47130-5914 |
| Practice Telephone | 8122888880 |
| Practice Fax Number | 8122888839 |
| Mailing Telephone | 8122888880 |
| Mailing Fax Number | 8122888839 |
| Enumeration Date | 2006-12-22 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
12006785A | IN | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780176677 | Samuel Eric Johnson | Dentist | 5128 Old Highway 11 Ste 7, Hattiesburg, MS 39402-6234 | 2018-06-05 |
| 1245730787 | Samuel Johnson | Behavior Technician | 17688 71st Ln N, Loxahatchee, FL 33470-5501 | 2018-02-20 |
| 1902357874 | Samuel Alexander Johnson | Counselor | 16755 Hughes Rd, Victorville, CA 92395-4563 | 2016-10-17 |
| 1184095556 | Samuel Lee Johnson IIi | Counselor | 2100 Woodmere Blvd Ste 135, Harvey, LA 70058-2294 | 2015-10-12 |
| 1558740803 | Samuel Johnson | Physician Assistant | 2901 Metro Drive, Suite 527, Bloomington, MN 55122 | 2015-05-20 |
| 1487032751 | Samuel H Johnson | Social Worker | 500 Adams Street, Box 3243, Seward, AK 99664-3243 | 2015-05-07 |
| 1285034496 | Samuel Johnson II | Specialist/Technologist | 220 Champions Drive, Harrisonburg, VA 22807-2478 | 2014-08-26 |
| 1528475092 | Samuel Johnson | Specialist/Technologist | 101 Womens Bldg, Oregon State University, Corvallis, OR 97331-8577 | 2014-07-16 |
| 1306111729 | Samuel Johnson | Counselor | 201 Humiston Cir, Thomaston, CT 06787-1223 | 2012-03-19 |
| 1205074846 | Samuel Charles-prabhakar Johnson | Physical Therapist | 1026 46th St, Brooklyn, NY 11219-2401 | 2009-02-03 |
| Street Address |
2946 HWY 62 BLDG B |
| City | JEFFERSONVILLE |
| State | IN |
| Zip Code | 47130-5914 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972124717 | Jeffersonville Commons Dental | Dentist | 1019 Jeffersonville Commons Drive, Jeffersonville, IN 47130 | 2020-05-04 |
| 1467099978 | Mercury Ambulance Service Inc | Ambulance | 623 Crestview Court, Jeffersonville, IN 47130 | 2019-12-03 |
| 1427514710 | Conn Hearing Aid Center LLC | Hearing Instrument Specialist | 1516 Spring Street, Jeffersonville, IN 47130 | 2019-02-12 |
| 1619446127 | Wellness for Life | Clinic/Center | 1 Pirate Pl, Charlestown, IN 47130 | 2018-11-14 |
| 1083199939 | Stephanie Allen LLC | Dentist | 434 Patrol Road, Suite 200, Jeffersonville, IN 47130 | 2018-09-26 |
| 1679068332 | Personal Choice Inc | Day Training, Developmentally Disabled Services | 3114 Clear Stream Wat, Jeffersonville, IN 47130 | 2018-06-26 |
| 1417454638 | Jason Allen | Social Worker | 101 Noahs Ln, Jeffersonville, IN 47130 | 2018-04-13 |
| 1508374299 | Kelsey Petty | Social Worker | 101 Noahs Lane, Jeffersonville, IN 47130 | 2018-01-16 |
| 1336658095 | Jenkins Podiatry PC | Podiatrist | 3310 Highway 62 East, Suite 179, Jeffersonville, IN 47130 | 2017-09-26 |
| 1831618602 | Alyssa Marie Elliott | Physical Therapist | 3040 Gottbrath Pkwy, Jeffersonville, IN 47130 | 2017-09-13 |
| Find all providers in zip 47130 | ||||
| Taxonomy Code | 1223X0400X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Orthodontics and Dentofacial Orthopedics |
| That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437274883 | S. Meredith Johnson, Jr., D.m.d. PC | Dentist | 2946 E 10th St, Building B, Jeffersonville, IN 47130-5914 | 2007-03-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659970036 | Sarah Buedel | Dentist | 900 Tutor Ln Ste 103, Evansville, IN 47715-7295 | 2020-10-18 |
| 1720695828 | Candid Indiana, P.C. | Dentist | 5 Washington St Fl 3, Valparaiso, IN 46383-4768 | 2020-09-23 |
| 1992357453 | Brace Yourself Orthodontics LLC | Dentist | 16329 State Road 23, South Bend, IN 46635-1457 | 2019-07-15 |
| 1417515255 | Mark Rex Rosenthall | Dentist | 3901 N Wheeling Ave, Muncie, IN 47304-1769 | 2019-06-05 |
| 1275190183 | Evan Randall Schmidt | Dentist | 3110 Willowcreek Rd, Portage, IN 46368-4424 | 2019-05-27 |
| 1508325879 | Rlm Orthodontics LLC | Dentist | 298 S 10th St Ste 100, Noblesville, IN 46060-2741 | 2019-03-17 |
| 1699234955 | Stonegate Orthodontics LLC | Dentist | 6857 W Stonegate Dr Ste B, Zionsville, IN 46077-8023 | 2019-03-17 |
| 1467917278 | Michael J Hacken | Dentist | 51565 Bittersweet Rd, Granger, IN 46530-8859 | 2019-02-06 |
| 1992290746 | Bbb of In, LLC | Dentist | 905 S College Mall Rd, Bloomington, IN 47401-6302 | 2018-06-25 |
| 1518456557 | Smile Doctors of Indiana, P.C. | Dentist | 1410 S Quail Run Rd, Vincennes, IN 47591-6845 | 2018-05-04 |
| Find all providers with the same taxonomy | ||||
| City | JEFFERSONVILLE |
| Zip Code | 47130 |
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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.