MS. MELISSA MARY JOHNSON (NPI# 1386779072) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386779072 |
| Entity Type | Individual |
| Full Name | MS. MELISSA MARY JOHNSON |
| Credential | RDH |
| Practice Address |
1711 Shawno Ave Green Bay WI 54303 |
| Mailing Address |
1300 San Jose Place Green Bay WI 54303 |
| Practice Telephone | 9204949541 |
| Practice Fax Number | 9204948195 |
| Mailing Telephone | 7159234148 |
| Enumeration Date | 2007-02-22 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 124Q00000X | Dental Hygienist | 6901016 | WI | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255946216 | Melissa Marie Johnson | Counselor | 9 Vose Avenue, South Orange, NJ 07079 | 2020-09-15 |
| 1720626047 | Melissa Johnson | Pharmacist | 5313 Paulsen St, Savannah, GA 31405-4800 | 2019-12-17 |
| 1528523867 | Melissa A. Johnson | Nurse Practitioner | 190 Jack Martin Blvd Bldg B3, Brick, NJ 08724-7728 | 2019-01-31 |
| 1144736893 | Melissa D Johnson | Occupational Therapy Assistant | 12610 Taylorwood Ln, Houston, TX 77070-5146 | 2017-12-18 |
| 1295245702 | Melissa Johnson | Counselor | 417 Biltmore Ave Ste 4b, Asheville, NC 28801-4541 | 2017-10-10 |
| 1144768748 | Melissa Johnson | Specialist/Technologist | 9717 W Kuse Rd, Frankfort, IL 60423-8003 | 2017-02-03 |
| 1871049379 | Melissa Johnson | Counselor | 12626 Forest Rd, Huntsburg, OH 44046-9737 | 2016-08-25 |
| 1326490020 | Melissa Lynn Johnson | Speech-Language Pathologist | 4104 S Grand Blvd, Spokane, WA 99203-2807 | 2016-07-06 |
| 1720450307 | Melissa Johnson | Registered Nurse | 4836 E Williams Dr, Phoenix, AZ 85054-6169 | 2015-10-22 |
| 1164892097 | Melissa Marie Johnson | Counselor | 793 Old Route 119 Hwy. N., Indiana, PA 15701-1372 | 2015-10-05 |
| Street Address |
1711 SHAWNO AVE |
| City | GREEN BAY |
| State | WI |
| Zip Code | 54303 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952921033 | Ashley Marie Vandermoss | Social Worker | 1601 W Mason Street, Green Bay, WI 54303 | 2020-04-20 |
| 1598307423 | Jean Marie Castaneda | Case Manager/Care Coordinator | 2517 N. Court, Green Bay, WI 54303 | 2019-10-11 |
| 1215579552 | Integrated Treatment Centers, LLC | Clinic/Center | 2311 W Mason Street, Green Bay, WI 54303 | 2019-10-08 |
| 1003460551 | Affordable Dentures & Implants - Green Bay, S.c. | Dentist | 1800-c W. Mason Street, Green Bay, WI 54303 | 2019-08-01 |
| 1164940375 | Kaeley Rae Blaney | Student in an Organized Health Care Education/Training Program | 2088 Memorial Drive #208, Green Bay, WI 54303 | 2017-09-07 |
| 1518498047 | Treatment Providers LLC | Clinic/Center | 2731 N Packerland Dr Ste A, Green Bay, WI 54303 | 2017-03-26 |
| 1851840565 | Back To Balance Chiropractic, LLC | Chiropractor | 110 Packerland Drive, Suite B, Green Bay, WI 54303 | 2016-09-23 |
| 1710361001 | Matthew Lemay | Acupuncturist | 727 E Walnut, Suite B2, Green Bay, WI 54303 | 2015-07-16 |
| 1144600149 | Carrie Jean Banaszak | Counselor | 1039 Mason Street, Green Bay, WI 54303 | 2015-06-04 |
| 1174921993 | Kensey Meyer | Occupational Therapy Assistant | 1555 Dousman Road, Seymour, WI 54303 | 2014-12-10 |
| Find all providers in zip 54303 | ||||
| Taxonomy Code | 124Q00000X |
| Grouping | Dental Providers |
| Classification | Dental Hygienist |
| An individual who has completed an accredited dental hygiene education program, and an individual who has been licensed by a state board of dental examiners to provide preventive care services under the supervision of a dentist. Functions that may be legally delegated to the dental hygienist vary based on the needs of the dentist, the educational preparation of the dental hygienist and state dental practice acts and regulations, but always include, at a minimum, scaling and polishing the teeth. To avoid misleading the public, no occupational title other than dental hygienist should be used to describe this dental auxiliary. |
| Notes: Source: Comprehensive Policy Statement on Dental Auxiliaries, American Dental Association. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639786551 | Maggie Hall | Dental Hygienist | 2633 Development Dr. Ste 40, Green Bay, WI 54311 | 2020-09-24 |
| 1649727108 | Amanda Marie Mckeefry | Dental Hygienist | 2304 Lineville Rd, Suite 101, Green Bay, WI 54313 | 2016-09-01 |
| 1790810471 | Gwen Marie Beno | Dental Hygienist | 1711 Shawano, Green Bay, WI 54303 | 2007-02-22 |
| 1598890279 | Cynthia Linda Skaleski | Dental Hygienist | 1711 Shawano Avenue, Dental Arts Associates of Green Bay Ltd, Green Bay, WI 54303 | 2007-02-22 |
| 1760042048 | Jennifer Schroeder | Dental Hygienist | 424 S Monroe Ave, Green Bay, WI 54301-4054 | 2019-06-18 |
| 1467934851 | Alicia Nicole Gendron | Dental Hygienist | 2280 W Mason St, Green Bay, WI 54303-4707 | 2018-08-31 |
| 1104349703 | Jenifer Jo Zobro | Dental Hygienist | 2280 W Mason St, Green Bay, WI 54303-4707 | 2017-07-25 |
| 1154870228 | Melissa Ann Yeager | Dental Hygienist | 1931 Main St, Green Bay, WI 54302-3920 | 2016-09-29 |
| 1437608502 | Amy Jean Schowalter | Dental Hygienist | 1931 Main St, Green Bay, WI 54302-3920 | 2016-09-29 |
| 1093128365 | Paula Hart | Dental Hygienist | 2470 W Mason St, Green Bay, WI 54303-4711 | 2014-06-04 |
| Find all providers in GREEN BAY | ||||
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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.