DR. NEIL JAMES JOHNSON (NPI# 1457631517) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457631517 |
| Entity Type | Individual |
| Full Name | DR. NEIL JAMES JOHNSON |
| Credential | D.D.S., PH.D. |
| Practice Address |
15290 Pennock Ln Apple Valley MN 55124-7163 |
| Mailing Address |
4236 Beard Ave N Robbinsdale MN 55422-1455 |
| Practice Telephone | 9524318583 |
| Mailing Telephone | 6127099090 |
| Enumeration Date | 2011-08-22 |
| Last Update Date | 2011-08-22 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | D12989 | MN | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538655345 | Neil Raymond Johnson | Assisted Living Facility | 11549 Pokonen Road, Floodwood, MN 55736 | 2018-07-04 |
| 1568981108 | Neil Johnson | Dentist | 2855 Summer Oaks Dr, Bartlett, TN 38134-3812 | 2017-09-14 |
| 1386089993 | Neil Gordon Johnson | Family Medicine | 14000 Nicollet Ave, Suite 100, Burnsville, MN 55337-5790 | 2013-05-09 |
| 1689922890 | Neil C. Johnson | Nurse Practitioner | 225 Church St, Stoughton, WI 53589 | 2012-08-20 |
| 1942213194 | Neil D Johnson | Radiology | 3333 Burnet Ave, Ml 5031, Cincinnati, OH 45229-3039 | 2006-08-15 |
| 1144243973 | Neil Rodman Johnson | Orthopaedic Surgery | 1000 W 140th Street, Suite 201, Burnsville, MN 55337 | 2006-07-25 |
| 1740274380 | Neil Grant Johnson | Neurological Surgery | 18300 Us Highway 18, St. Mary Medical Center, Apple Valley, CA 92307-2206 | 2005-09-09 |
| Street Address |
15290 PENNOCK LN |
| City | APPLE VALLEY |
| State | MN |
| Zip Code | 55124-7163 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700857018 | Thomas Michael King | Family Medicine | 15290 Pennock Ln, Apple Valley, MN 55124-7163 | 2006-01-27 |
| 1053807719 | John Boettger | Physician Assistant | 15290 Pennock Ln, Apple Valley, MN 55124 | 2018-07-06 |
| 1437688538 | Zaynab Rasheed | Family Medicine | 15290 Pennock Ln, Apple Valley, MN 55124-7163 | 2017-06-12 |
| 1992236194 | Erica Lee Mahlum | Physician Assistant | 15290 Pennock Ln, Apple Valley, MN 55124-7163 | 2017-03-21 |
| 1902213366 | Kelly Fischer | Occupational Therapist | 15290 Pennock Ln, Apple Valley, MN 55124-7163 | 2014-07-17 |
| 1528483799 | Brita Emanuell Dahlquist | Physician Assistant | 15290 Pennock Ln, Apple Valley, MN 55124-7163 | 2014-02-25 |
| 1619311586 | Olusola Olasupo Adegoke | Family Medicine | 15290 Pennock Ln, Apple Valley, MN 55124-7163 | 2013-04-23 |
| 1497018055 | Daniel E Stein | Family Medicine | 15290 Pennock Ln, Apple Valley, MN 55124-7163 | 2012-06-19 |
| 1386910479 | Tracy Jo Irons-dieterle | Nurse Practitioner | 15290 Pennock Ln, Apple Valley, MN 55124-7163 | 2012-03-22 |
| 1558597377 | Sushant Nangrani | Family Medicine | 15290 Pennock Ln, Apple Valley, MN 55124 | 2009-06-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518574672 | Carol Susan Elstad | Counselor | Mn Mental Health Clinics, 15160 Foliage Ave Suite 140, Apple Valley, MN 55124 | 2020-09-23 |
| 1629612569 | Gadaa Care Transportation | Non-emergency Medical Transport (VAN) | 7296 157th St W, Apple Valley, MN 55124 | 2019-11-04 |
| 1356831515 | Dustin W Seabolt | Hearing Instrument Specialist | 15071 Dunwood Trl, Apple Valley, MN 55124 | 2018-05-14 |
| 1639687189 | Dentalign P.a. | Clinic/Center | 15875 Emperor Avenue, Apple Valley, MN 55124 | 2018-01-18 |
| 1982126926 | Apex Family Chiropractic LLC | Chiropractor | 15678 Pilot Knob Road, Suite 120, Apple Valley, MN 55124 | 2017-07-12 |
| 1821523028 | Robin Marie Parker | Nurse Practitioner | 14135 Cedar Avenue South, Suite 100, Apple Valley, MN 55124 | 2017-04-25 |
| 1134578826 | Ellen Denise Jacobson | Dentist | 14682 Pennock Avenue South, Apple Valley, MN 55124 | 2016-06-03 |
| 1831568708 | Clearriver Inc. | Home Health | 13790 Elkhart Rd, Apple Valley, MN 55124 | 2015-09-21 |
| 1265826879 | Next Level Fitness Co | Public Health or Welfare | 14645 Felton Ct, 104, Apple Valley, MN 55124 | 2015-03-20 |
| 1568872216 | Jon Butala | Marriage & Family Therapist | 4300 W 147th St., Suite 204, Apple Valley, MN 55124 | 2014-05-04 |
| Find all providers in zip 55124 | ||||
| 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 |
|---|---|---|---|---|
| 1134578826 | Ellen Denise Jacobson | Dentist | 14682 Pennock Avenue South, Apple Valley, MN 55124 | 2016-06-03 |
| 1841689932 | David Joon Kim | Dentist | 19333 Bear Valley Rd Ste 205, Apple Valley, CA 92308-5150 | 2015-01-13 |
| 1720485618 | Sun Choi | Dentist | 20162 Us Highway 18, Apple Valley, CA 92307-2935 | 2014-11-20 |
| 1962781898 | Nicholas Patrick Navarro | Dentist | 14600 Granada Dr, Apple Valley, MN 55124-7419 | 2011-08-09 |
| 1104126168 | Charles N Miller Dds Pa | Dentist | 7631 145th St W, Apple Valley, MN 55124-5511 | 2010-10-25 |
| 1659506558 | Haisam Sayed, Dds Inc. | Dentist | 18805 Bear Valley Road, Suite 4, Apple Valley, CA 92308-6709 | 2009-05-20 |
| 1811133325 | Bashar Suleiman Ayyoub | Dentist | 19071 Bear Valley Rd, Suite 1, Apple Valley, CA 92308-2718 | 2009-01-05 |
| 1407011448 | Robert John Whiting | Dentist | 16127 Kasota Rd Ste 103, Apple Valley, CA 92307-2204 | 2008-07-18 |
| 1205004124 | Western Dental Services, Inc | Dentist | 19071 Bear Valley Rd., Suite #1, Apple Valley, CA 92308-6709 | 2008-02-13 |
| 1740466283 | Rashmi J Shankar | Dentist | 19276 Monterey St, Apple Valley, CA 92308-6097 | 2008-01-15 |
| Find all providers in APPLE VALLEY | ||||
| City | APPLE VALLEY |
| Zip Code | 55124 |
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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.