DR. MARY BETH JOHNSON (NPI# 1437292570) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437292570 |
| Entity Type | Individual |
| Full Name | DR. MARY BETH JOHNSON |
| Credential | DDS |
| Practice Address |
Hwy 264, Mp 388 Polacca AZ 86042 |
| Mailing Address |
Hopi Health Care Center Keams Canyon S.u. Po Box 4000 Polacca AZ 86042 |
| Practice Telephone | 9287376162 |
| Enumeration Date | 2007-02-15 |
| Last Update Date | 2009-06-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
30020478 | OH | Dental Providers |
| N | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
30-020478 | OH | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 420456 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356953145 | Mary Ann Johnson | Technician | 165 Everett Dr, Gallipolis Ferry, WV 25515-7005 | 2020-08-21 |
| 1851938385 | Mary Johnson | Technician | 2917 W 19th Ave Trlr 79, Kennewick, WA 99337-2307 | 2019-12-03 |
| 1578106845 | Mary Margaret Johnson | Social Worker | 6614 Shallowford Rd. Suite 250, Lewisville, NC 27023 | 2019-10-19 |
| 1033670807 | Mary Bernece Johnson | Registered Nurse | 5603 Mandalay, Killeen, TX 76549-4597 | 2019-03-26 |
| 1295205342 | Mary Elizabeth Johnson | Speech-Language Pathologist | 502 W Windsor Rd, Champaign, IL 61820-7739 | 2018-12-03 |
| 1255825758 | Mary Elizabeth Johnson | Dietitian, Registered | 3590 Lucille Dr Ste 2600, Cincinnati, OH 45213-2669 | 2018-06-18 |
| 1871000463 | Mary James (jamie) Johnson | Counselor | 1100 Spring Street, Suite 380, Atlanta, GA 30309 | 2018-01-04 |
| 1841735289 | Mary Johnson | Registered Nurse | 14 Cypress Fairway Vlg, Wimberley, TX 78676-1974 | 2016-12-20 |
| 1467827220 | Mary Johnson | Registered Nurse | 308 Keelson Dr, Detroit, MI 48215-3058 | 2015-12-04 |
| 1003286055 | Mary Ann Johnson | Dentist | 320 Comanche St., Kiowa, CO 80117 | 2015-10-02 |
| Street Address |
HWY 264, MP 388 |
| City | POLACCA |
| State | AZ |
| Zip Code | 86042 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881736072 | Marilyn Masayesva | Registered Nurse | Hwy 264, Mp 388, Polacca, AZ 86042 | 2007-02-13 |
| 1982155081 | Andrea Lynn Joshevama | Counselor | Hwy 264, Mp 388, Hopi Behavioral Health Services, Polacca, AZ 86042 | 2016-10-24 |
| 1649597808 | Eric Espinosa | Registered Nurse | Hwy 264, Mp 388, Polacca, AZ 86042-4000 | 2010-04-28 |
| 1033432620 | Eugene Nodestine | Nurse's Aide | Hwy 264, Mp 388, Hopi Health Care Center, Polacca, AZ 86042-4000 | 2010-03-10 |
| 1760705354 | Susan Cody | Registered Nurse | Hwy 264, Mp 388, Hopi Health Care Center, Polacca, AZ 86042-4000 | 2010-03-10 |
| 1851623599 | Erica Yvonne Smith | Dietitian, Registered | Hwy 264, Mp 388, Polacca, AZ 86042-4000 | 2010-02-05 |
| 1659597284 | Susan Lippold | Internal Medicine | Hwy 264, Mp 388, Hopi Health Care Center, Polacca, AZ 86042 | 2007-04-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316553787 | Megan Gilliam | Pharmacist | Mile Post 288 Hwy 264, Polacca, AZ 86042 | 2020-09-21 |
| 1295348787 | Emma Guadalupe Cortez | Nurse's Aide | Hopi Health Care, Hwy 264 Mp 388, Polacca, AZ 86042 | 2020-08-25 |
| 1942835434 | Kevin C Powers | Registered Nurse | Route 264 Mp 388, Polacca, AZ 86042 | 2020-03-05 |
| 1780217463 | Kim N Le | Family Medicine | Mile Post 388 Highway 264, Polacca, AZ 86042 | 2020-02-20 |
| 1265959365 | Karen Olivia Francis | Registered Nurse | Highway 264 Mile Post, Hopi Health Care Facility, Polacca, AZ 86042 | 2017-08-29 |
| 1629598339 | Marina Kanoelani Mehau-sanchez | Pharmacist | Hwy 264 At Mile Post 388, Hopi Health Care Center, Polacca, AZ 86042 | 2017-06-23 |
| 1184096786 | Erica Lalo | Technician, Other | Hwy 264 Mp388, Polacca, AZ 86042 | 2015-10-22 |
| 1790124618 | Michael Everett Robinson | Registered Nurse | Highway 264 Mile Post 388, Polacca, Az 86042, Hopi Health Care Center (ihs), Polacca, AZ 86042 | 2013-06-25 |
| 1760728232 | Rhanishia Smith | Registered Nurse | Highway 264 Mile Pot 388, Polacca, AZ 86042 | 2013-01-02 |
| 1871818492 | Stacy Talahytewa II | Radiologic Technologist | Hwy 264 Mile Post 388, Polacca, AZ 86042 | 2010-04-07 |
| Find all providers in zip 86042 | ||||
| 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 |
|---|---|---|---|---|
| 1528069028 | Margaret Ann Quiller | Dentist | Highway 264, Mp 388, Polacca, AZ 86042-6042 | 2005-08-09 |
| 1285635946 | Gary Alan Wilson | Dentist | Highway 264, Milepost 388, Polacca, AZ 86042-6042 | 2005-08-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699376616 | Arizona Dental Professionals, P.C. | Dentist | 37591 N Gantzel Rd, San Tan Valley, AZ 85140-7376 | 2020-11-05 |
| 1851992879 | Arizona Dental Professionals, P.C. | Dentist | 1177 S Watson Rd Ste 107, Buckeye, AZ 85326-3465 | 2020-11-05 |
| 1609475060 | Happy Molar Dental LLC | Dentist | 67 N Dobson Rd Ste A-104, Mesa, AZ 85201-6822 | 2020-10-18 |
| 1679171151 | Diana Kim | Dentist | 15128 W Bell Rd Ste 12, Surprise, AZ 85374-2451 | 2020-10-15 |
| 1366040057 | Hdp Casa Grande Dental LLC | Dentist | 1968 N Peart Rd Ste 22, Casa Grande, AZ 85122-2497 | 2020-10-14 |
| 1871191197 | Dentalpros, LLC | Dentist | 225 E Valencia Rd Ste 135, Tucson, AZ 85706-6866 | 2020-10-09 |
| 1457958928 | Eesha Katarya | Dentist | 1060 S Harrison Rd Ste 110, Tucson, AZ 85748-6603 | 2020-10-07 |
| 1063019669 | Sona Dds PC | Dentist | 10450 E. Riggs Rd. #118, Chandler, AZ 85248 | 2020-10-06 |
| 1598362105 | Sona Dds PC | Dentist | 995 E Ocotillo Rd Ste 3, Chandler, AZ 85249-3111 | 2020-10-06 |
| 1205441136 | Maryvale Dental Studio | Dentist | 7614 W Indian School Rd # 2, Phoenix, AZ 85033-3035 | 2020-09-08 |
| Find all providers with the same taxonomy | ||||
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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.