DR. DARYL L. JOHNSON (NPI# 1366591273) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366591273 |
| Entity Type | Individual |
| Full Name | DR. DARYL L. JOHNSON |
| Credential | D.M.D. |
| Practice Address |
128 Ross St Molalla OR 97038-9390 |
| Mailing Address |
Po Box 390 Molalla OR 97038-0390 |
| Practice Telephone | 5038297677 |
| Practice Fax Number | 5038293398 |
| Mailing Telephone | 5038297677 |
| Mailing Fax Number | 5038293398 |
| Enumeration Date | 2007-01-09 |
| Last Update Date | 2010-08-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
D6951 | OR | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | FEIN | 93-1306543 | 01 |
| OR | STATE LICENSE | D6951 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619985272 | Daryl Lance Johnson | Dentist | 1313 W Highway 8, Cleveland, MS 38732-2240 | 2006-08-03 |
| 1194324541 | Daryl Kevin Johnson II | Pharmacist | 10800 Iron Bridge Rd, Chester, VA 23831-1628 | 2020-10-17 |
| 1710152426 | Daryl Mae Johnson | Counselor | 4757 N 76th St, Milwaukee, WI 53218-4732 | 2008-04-23 |
| 1902095664 | Daryl Aundra Johnson | Neurological Surgery | 415 S 28th Ave, Hattiesburg, MS 39401-7246 | 2007-10-18 |
| 1922139336 | Daryl Johnson | Rehabilitation Practitioner | 8836 S Vermont Ave, Los Angeles, CA 90044-4832 | 2007-03-08 |
| Street Address |
128 ROSS ST |
| City | MOLALLA |
| State | OR |
| Zip Code | 97038-9390 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225036965 | William J.p. Melby | Dentist | 128 Ross St, Molalla, OR 97038-9390 | 2005-07-07 |
| 1639486590 | Daryl L. Johnson, Dmd, PC | Dentist | 128 Ross St, Molalla, OR 97038-9390 | 2010-09-13 |
| 1184956518 | Paul M Baumgartner Dds PC | Clinic/Center | 128 Ross St, Molalla, OR 97038-9390 | 2010-02-10 |
| 1023274198 | Molalla Family Dental, PC | Clinic/Center | 128 Ross St, Molalla, OR 97038-9390 | 2008-07-29 |
| 1740282599 | Paul M Baumgartner | Dentist | 128 Ross St, Molalla, OR 97038-9390 | 2005-08-11 |
| 1184624967 | Kenneth Byron Willeford | Dentist | 128 Ross St, Molalla, OR 97038-9390 | 2005-07-22 |
| 1922006683 | Marianna J Mclean | Dentist | 128 Ross St, Molalla, OR 97038-9390 | 2005-07-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316435241 | Daniel J Floyd Dmd Ms LLC | Dentist | 863 W. Main St., Suite 200, Molalla, OR 97038 | 2018-04-26 |
| 1285985002 | Julie Kornilkin | Massage Therapist | 9021 S. Gibson Rd., Bldg. B, Molalla, OR 97038 | 2012-09-20 |
| 1326213679 | Lynn Renee Clark | Skilled Nursing Facility | 301 Ridings Avenue, Molalla, OR 97038 | 2008-04-28 |
| 1083887285 | Geoffrey Hsi-wen Wang | Dentist | 175 Grange Avenue, Molalla, OR 97038 | 2008-04-08 |
| 1629283627 | Inkrote Chiropractic Clinic, PC | Chiropractor | 217 N Molalla Ave, Molalla, OR 97038 | 2007-05-12 |
| 1063589406 | Sabrina Marie Frolov | Chiropractor | 207 S Molalla Ave, Molalla, OR 97038 | 2006-11-29 |
| 1639254204 | Silverton Hospital | Specialist | 861 West Main Street, Molalla, OR 97038 | 2006-10-25 |
| 1235231275 | Jay Wallace Walker | Optometrist | 502 E Main Street, Molalla, OR 97038 | 2006-09-01 |
| 1427087931 | Heather Mary Tonga | Physician Assistant | 110 Center Ave, Molalla, OR 97038 | 2006-06-30 |
| 1497715270 | Cutters Hi-school Pharmacy | Pharmacy | 103 Robbins St, Molalla, OR 97038 | 2006-03-24 |
| Find all providers in zip 97038 | ||||
| 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 |
|---|---|---|---|---|
| 1972902054 | Benjamin Whitted | Dentist | 1400 Fountain Way, Molalla, OR 97038-8874 | 2014-08-14 |
| 1083887285 | Geoffrey Hsi-wen Wang | Dentist | 175 Grange Avenue, Molalla, OR 97038 | 2008-04-08 |
| 1548307192 | Alfred M Borromeo | Dentist | 1515 W Main St Ste Q, Molalla, OR 97038-7363 | 2007-01-31 |
| 1437239795 | Jatinder Singh Dhadli | Dentist | 175 Grange Ave, Molalla, OR 97038-8136 | 2006-10-17 |
| 1225036965 | William J.p. Melby | Dentist | 128 Ross St, Molalla, OR 97038-9390 | 2005-07-07 |
| 1861735920 | Olesya Z. Salathe, Dmd, LLC | Dentist | 106 E 2nd St, Molalla, OR 97038-9195 | 2013-03-27 |
| 1639486590 | Daryl L. Johnson, Dmd, PC | Dentist | 128 Ross St, Molalla, OR 97038-9390 | 2010-09-13 |
| 1740282599 | Paul M Baumgartner | Dentist | 128 Ross St, Molalla, OR 97038-9390 | 2005-08-11 |
| 1184624967 | Kenneth Byron Willeford | Dentist | 128 Ross St, Molalla, OR 97038-9390 | 2005-07-22 |
| 1922006683 | Marianna J Mclean | Dentist | 128 Ross St, Molalla, OR 97038-9390 | 2005-07-07 |
| Find all providers in MOLALLA | ||||
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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.