DR. GREGORY M JOHNSON (NPI# 1497891881) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497891881 |
| Entity Type | Individual |
| Full Name | DR. GREGORY M JOHNSON |
| Credential | DDS |
| Practice Address |
1063 W Pearce Blvd Wentzville MO 63385-1019 |
| Practice Telephone | 6363276880 |
| Practice Fax Number | 6363276881 |
| Mailing Telephone | 6363276880 |
| Mailing Fax Number | 6363276881 |
| Enumeration Date | 2007-01-30 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
2003012143 | IN | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568080505 | Gregory L Johnson | Student in an Organized Health Care Education/Training Program | W165n10212 Wagon Trl, Germantown, WI 53022-4747 | 2020-07-07 |
| 1780213405 | Gregory Johnson | Student in an Organized Health Care Education/Training Program | 534 S Field St, Lakewood, CO 80226-2957 | 2020-04-04 |
| 1912462789 | Gregory Johnson | Technician | 2001 15th St Nw # W1012, Washington, DC 20009-5828 | 2019-02-06 |
| 1558877134 | Gregory Wallace Johnson | Radiology | 769 W 1900 S, Woods Cross, UT 84087-1720 | 2017-12-19 |
| 1770004764 | Gregory Nathan Johnson | Physical Therapist | 200 E Idaho St Ste A, Kalispell, MT 59901-4117 | 2017-06-29 |
| 1497295349 | Gregory Johnson | Behavior Technician | 831 W Woodward Ave, Eustis, FL 32726-4562 | 2017-02-26 |
| 1205202140 | Gregory Kent Johnson | Dentist | 650 E. 25th Street, Umkc School of Dentistry, Kansas City, MO 64108 | 2015-08-14 |
| 1932507571 | Gregory Johnson | Specialist/Technologist | 7925 W Mansfield Pkwy Unit 303, Lakewood, CO 80235-1955 | 2014-12-14 |
| 1093080228 | Gregory Paul Johnson | Physical Therapist | 986 Quail Rdg, Keller, TX 76248-2925 | 2012-03-21 |
| 1588962054 | Gregory Earl Johnson | Counselor | 915 E Main St, Watonga, OK 73772-4626 | 2011-03-08 |
| Street Address |
1063 W PEARCE BLVD |
| City | WENTZVILLE |
| State | MO |
| Zip Code | 63385-1019 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235730243 | Jeffery William Ellis | Pharmacist | 1571 Wentzville Parkway, Wentzville, MO 63385 | 2020-11-05 |
| 1487266011 | Jason Wade Moore | Peer Specialist | 5 West Pearce Boulevard, Wentzville, MO 63385 | 2020-08-17 |
| 1265906176 | Montrice M Haynes | Counselor | 500 Medical Dr., Central Intake, Wentzville, MO 63385 | 2019-01-14 |
| 1841718459 | Linda Duree | Counselor | 7105 Whisper Creek Dr, Wentzville, MO 63385 | 2017-09-03 |
| 1811349368 | Sara Kleinlein | Social Worker | 500 Medical Drive, Wentzville, MO 63385 | 2016-07-08 |
| 1275980757 | Teona Moeller | Nurse Practitioner | 1598 West Meyer Dr., Wentzville, MO 63385 | 2016-05-16 |
| 1831561273 | Jay F. Hauser, Dds, PC | Dentist | 11 Wentzville Bluffs Drive, Wentzville, MO 63385 | 2015-10-26 |
| 1720402035 | Shara Kuehl | Speech-Language Pathologist | One Campus Drive, Wentzville, MO 63385 | 2014-02-06 |
| 1336480474 | Simply Loyal In Home and Transport Services LLC | Home Health | 152 Enterprise Dr, Wentzille, MO 63385 | 2013-03-14 |
| 1750641338 | Missouri Dental Professionals, Richard Straus, Dmd, PC | Dentist | 1849 Wentzville Parkway, Wentzville, MO 63385 | 2012-05-17 |
| Find all providers in zip 63385 | ||||
| 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 |
|---|---|---|---|---|
| 1740849801 | Andrew J Larkin | Dentist | 11 Wentzville Bluffs Dr Ste 101, Wentzville, MO 63385-4534 | 2019-06-11 |
| 1427611805 | Emily Oehler | Dentist | 1040 Meyer Rd, Wentzville, MO 63385-3694 | 2019-04-21 |
| 1083106413 | Kristiane Naegler Dmd, LLC | Dentist | 853 Medical Dr Ste 114, Wentzville, MO 63385-3823 | 2018-06-01 |
| 1568831857 | Acton Dental, LLC | Dentist | 1871 W Pearce Blvd, Wentzville, MO 63385-3302 | 2015-09-17 |
| 1750641338 | Missouri Dental Professionals, Richard Straus, Dmd, PC | Dentist | 1849 Wentzville Parkway, Wentzville, MO 63385 | 2012-05-17 |
| 1134393747 | Drs.kraner and Kraner, LLC | Dentist | 1838 Wentzville Pkwy, Wentzville, MO 63385-3817 | 2008-04-15 |
| 1538364153 | Thomas C. Delaney Dmd PC | Dentist | 1126 W Pearce Blvd Ste 110, Wentzville, MO 63385-1053 | 2007-06-15 |
| 1295877710 | Barbara Ann Oehler | Dentist | 1040 Meyer Road, Wentzville, MO 63385-3437 | 2007-02-12 |
| 1023161627 | Kraner Family Dentistry | Dentist | 1838 Wentzville Pkwy., Wentzville, MO 63385 | 2007-01-19 |
| 1518021088 | Matthew Justin Kraner | Dentist | 1838 Wentzville Pky, Wentzville, MO 63385 | 2006-12-20 |
| Find all providers in WENTZVILLE | ||||
| City | WENTZVILLE |
| Zip Code | 63385 |
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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.