DR. MARK C JOHNSON (NPI# 1447355052) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447355052 |
| Entity Type | Individual |
| Full Name | DR. MARK C JOHNSON |
| Credential | D.D.S. |
| Practice Address |
740 Main St North Bend NE 68649-5003 |
| Mailing Address |
Po Box 396 North Bend NE 68649-0396 |
| Practice Telephone | 4026523670 |
| Mailing Telephone | 4026523670 |
| Enumeration Date | 2006-09-14 |
| Last Update Date | 2015-03-03 |
| NPI Deactivation Date | 12/04/2014 |
| NPI Reactivation Date | 2015-03-03 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 4322 | NE | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427528546 | Mark Johnson | Urology | 278 Franklin Rd Ste 150, Brentwood, TN 37027-3265 | 2018-12-01 |
| 1437692787 | Mark Johnson | Pharmacist | 500 N Claude Lord Boulevard, Pottsville, PA 17901-3868 | 2016-11-18 |
| 1902277734 | Mark Johnson Sr. | Counselor | 5310 Eagle Creek Blvd, Shakopee, MN 55379-8617 | 2015-10-20 |
| 1295175966 | Mark Johnson | Pharmacist | 418 Opal Ln, Hibbing, MN 55746-3844 | 2013-06-26 |
| 1275971988 | Mark A Johnson | Dentist | 1714 W Hunt Hwy Ste 100, Queen Creek, AZ 85143-5245 | 2013-06-05 |
| 1598009938 | Mark R Johnson | Pharmacist | 273 12th St Ne, Unit 313, Atlanta, GA 30309-3853 | 2012-11-26 |
| 1164778619 | Mark Anthony Johnson | Pharmacist | 3449 Rezanof Drive, Kodiak, AK 99615 | 2012-08-01 |
| 1881953578 | Mark Joseph Johnson | Anesthesiology | 2810 N Swan Rd Ste 1002810n, Tucson, AZ 85712-6305 | 2012-05-15 |
| 1811261662 | Mark Johnson | Physical Therapist | 3303 Sw Bond Ave Fl 1, Portland, OR 97239-4501 | 2012-02-25 |
| 1639470636 | Mark Johnson | Counselor | 4314 W Lovers Ln, Dallas, TX 75209-2804 | 2010-11-06 |
| Street Address |
740 MAIN ST |
| City | NORTH BEND |
| State | NE |
| Zip Code | 68649-5003 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720220999 | North Bend Rural Fire Protection | Ambulance | 140 7 Th Street, North Bend, NE 68649 | 2009-04-02 |
| 1376780734 | Rachel M Mitchell | Occupational Therapy Assistant | 1120 Walnut St, North Bend, NE 68649 | 2009-01-07 |
| 1518097948 | Ronald L Schindler | Pharmacist | 748 N Main St, North Bend, NE 68649-0482 | 2007-03-06 |
| 1619365939 | Leslee A Yost | Dental Hygienist | 201 Legge Lk, North Bend, NE 68649-2005 | 2015-01-08 |
| 1184989097 | Ronald Anderson | Pharmacist | 1157 County Road R, North Bend, NE 68649-2022 | 2012-07-06 |
| 1043832041 | Lorie Ann Kelley Norton | Nurse Practitioner | 930 Cottonwood St, North Bend, NE 68649-3511 | 2020-05-12 |
| 1801392345 | Kimberley Dawn Hemmer | Registered Nurse | 741 W 9th St, North Bend, NE 68649-3514 | 2018-04-03 |
| 1477798387 | Katie L. Pospisil | Occupational Therapy Assistant | 1120 Walnut St, North Bend, NE 68649-4045 | 2008-12-05 |
| 1194865808 | North Bend Fire Department | Ambulance | 1240 Maple St, North Bend, NE 68649-4413 | 2007-02-08 |
| 1629018866 | John Makovicka | Physical Therapist | 640 W 6th St, North Bend, NE 68649-4430 | 2006-06-07 |
| Find all providers in zip 68649 | ||||
| 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 |
|---|---|---|---|---|
| 1851768212 | Michael Anthony Ryan Martins | Dentist | 2070 Virginia Ave, North Bend, OR 97459-2351 | 2015-09-01 |
| 1477524296 | Patrick Howard Odonnell | Dentist | 133 E Park St, North Bend, WA 98045 | 2006-01-30 |
| 1548816093 | Craig Austin Johnson | Dentist | 2070 Virginia Ave, North Bend, OR 97459-2351 | 2019-08-12 |
| 1659659670 | Benjamin Keith Huff | Dentist | 2157 Broadway St, North Bend, OR 97459-2329 | 2011-07-25 |
| 1366771875 | Jae Eun Lee | Dentist | 1860 Virginia Ave, #8, North Bend, OR 97459-2355 | 2009-12-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669086252 | Chancy Hanquist | Dentist | 1830 E Condon Ave, Aurora, NE 68818-3135 | 2020-09-02 |
| 1821609710 | Chaeli Ford | Dentist | 3672 Lexington Ave, Bellevue, NE 68123-1321 | 2020-08-13 |
| 1639797194 | Jared Matthew Homan | Dentist | 11840 Nicholas St Ste 210, Omaha, NE 68154-4475 | 2020-07-10 |
| 1265050140 | Brittany Ann Albers | Dentist | 3600 W Norfolk Ave, Norfolk, NE 68701-7702 | 2020-07-08 |
| 1063038255 | Brock Bernard Lewis | Dentist | 1904 South St Ste 103, Blair, NE 68008-1964 | 2020-06-23 |
| 1114563970 | Corinne Marie Van Osdel | Dentist | 4400 Emile St # 3602, Omaha, NE 68198-0600 | 2019-11-26 |
| 1285278028 | Omaha Periodontics and Implant Dentistry LLC | Dentist | 624 N 129th St Ste 200, Omaha, NE 68154-6110 | 2019-11-05 |
| 1508427626 | Ehsan Mostaghni | Dentist | 4000 E Campus Loop S Dept Of, Lincoln, NE 68583-1530 | 2019-06-28 |
| 1972162493 | Luke Riley Bessmer | Dentist | 8910 Indian Hills Dr Ste 200, Omaha, NE 68114-4127 | 2019-06-08 |
| 1023676582 | Sarah C Schroeder | Dentist | 610 Main St Ste A, Adams, NE 68301-7793 | 2019-05-30 |
| Find all providers with the same taxonomy | ||||
| City | NORTH BEND |
| Zip Code | 68649 |
Please comment or provide details below to improve the information on DR. MARK C JOHNSON.
| 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.