DR. LONNIE JOHNSON (NPI# 1508837410) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508837410 |
| Entity Type | Individual |
| Full Name | DR. LONNIE JOHNSON |
| Credential | DDS, PHD |
| Practice Address |
1635 Ursula St Aurora CO 80010-7402 |
| Mailing Address |
Mail Stop F742 Po Box 6510 Aurora CO 80045 |
| Practice Telephone | 7208480689 |
| Practice Fax Number | 7208480660 |
| Mailing Telephone | 7208480689 |
| Mailing Fax Number | 7208480660 |
| Enumeration Date | 2006-01-30 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0300X |
Dentist Specialization: Periodontics |
6965 | CO | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 71370323 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659825198 | Lonnie Johnson | Durable Medical Equipment & Medical Supplies | 1750 Powder Springs Rd Sw Ste 190, Marietta, GA 30064-4861 | 2016-08-13 |
| 1457672891 | Lonnie Johnson Sr. | Counselor | 6209 Se 57th St, Oklahoma City, OK 73135-5401 | 2010-06-21 |
| 1619048683 | Lonnie Johnson | Chiropractor | 2705 E Burnside St Ste 213, Portland, OR 97214-1768 | 2006-11-13 |
| 1336660539 | Lonnie L Johnson | Counselor | 636 Northland Blvd, Cincinnati, OH 45240-3221 | 2017-06-28 |
| Street Address |
1635 URSULA ST |
| City | AURORA |
| State | CO |
| Zip Code | 80010-7402 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336311273 | Ronald Olson | Audiologist | 1635 Ursula St, 6200, Aurora, CO 80045-2541 | 2008-04-01 |
| 1457523946 | Kathleen Mary Zaccaro | Audiologist | 1635 Ursula St, Department of Audiology Box 510 F736, Aurora, CO 80045-2541 | 2008-03-25 |
| 1215128251 | Stefanie S Walker | Dentist | 1635 Ursula St, 5th Floor, Aurora, CO 80045-7402 | 2007-08-06 |
| 1245449685 | Katherine Lynn Howard | Genetic Counselor, MS | 1635 Ursula St, Aurora, CO 80045-7402 | 2007-05-22 |
| 1306061395 | Dianne Lee Hawkins | Physical Therapist | 1635 Ursula St, Aurora, CO 80045-7402 | 2007-04-16 |
| 1386782423 | Kimberly Marshall | Dentist | 1635 Ursula St, Rm 5200, Aurora, CO 80045-7402 | 2007-02-01 |
| 1770630410 | Stacy Dawn Claycomb | Audiologist | 1635 Ursula St, Suite 6200, Aurora, CO 80045-2541 | 2007-01-04 |
| 1518026699 | University Physicians, Inc. | Orthopaedic Surgery | 1635 Ursula St, Box 6510, Ms F-722, Aurora, CO 80045-7402 | 2006-12-06 |
| 1588753768 | Ray Yukna | Dentist | 1635 Ursula St, Aurora, CO 80045-7402 | 2006-10-12 |
| 1073569505 | Brian Allen Enebo | Chiropractor | 1635 Ursula St, Suite #5501, Aurora, CO 80010-7402 | 2006-05-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255991659 | Jennifer Hummer Fisher | Registered Nurse | Dawn Clinic, 1445 Dayton St, Aurora, CO 80010 | 2019-06-18 |
| 1770147662 | Lindsey Grace Torres | Counselor | 1455 Beeler Str., Aurora, CO 80010 | 2019-04-25 |
| 1700359536 | Jose Alberto Diaz Leo | Registered Nurse | 9801 East Colfax, Suite 130, Aurora, CO 80010 | 2019-01-04 |
| 1235617440 | Jose Francisco Gurruchaga | Student in an Organized Health Care Education/Training Program | 1504 Galena St., Aurora, CO 80010 | 2018-07-31 |
| 1659727907 | Nauliate Hutagalung | Case Manager/Care Coordinator | 995 Kenton St, Aurora, CO 80010 | 2016-05-05 |
| 1144626888 | Diana Hinojosa | Psychologist | 10680 Del Mar Pkwy, Aurora, CO 80010 | 2014-11-06 |
| 1487059614 | Jyoti Sapkota | Counselor | 1537 Alton St., Aurora, CO 80010 | 2014-10-30 |
| 1972925543 | Sonam Khanal | Social Worker | 1537 Alton St, Aurora, Aurora, CO 80010 | 2014-01-15 |
| 1487925665 | Ardas LLC | Clinic/Center | 10180 E Colfax Ave Ste 150, Aurora, CO 80010 | 2012-01-20 |
| 1255666376 | Smile 5 Professionals LLC | Dentist | 10401 East Colfax Ave, Aurora, CO 80010 | 2009-10-07 |
| Find all providers in zip 80010 | ||||
| Taxonomy Code | 1223P0300X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Periodontics |
| That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457656159 | Randolph Scott Ziegler | Dentist | 13065 E 17th Ave Ste F847, Room 130, Aurora, CO 80045-2534 | 2011-01-11 |
| 1891927307 | Jonathan Charles Boynton | Dentist | 13065 E 17th Ave Rm 111, Aurora, CO 80045-2532 | 2009-08-17 |
| 1477604478 | Robert John Denny | Dentist | 14001 E. Iliff Ave., Ste. 104, Aurora, CO 80014-1424 | 2007-01-16 |
| 1962580340 | Robert M Pick | Dentist | 95 Trade St, #104, Aurora, IL 60504 | 2006-11-01 |
| 1255305116 | Charles Anthony Powell | Dentist | 13065 E 17th Ave Rm 130k, Mail Stop F847, Aurora, CO 80045-2532 | 2006-02-15 |
| 1316396518 | Grand Dental Associates, P.C. | Dentist | 1780 N Farnsworth Ave, Aurora, IL 60505-1576 | 2016-06-08 |
| 1689029761 | Lauren Metzger | Dentist | 13065 E 17th Ave, Mail Stop F-850, Room 111, Aurora, CO 80045-2532 | 2016-04-26 |
| 1982006763 | Chacon Dental Group | Dentist | 3535 E New York St, Aurora, IL 60504-4465 | 2014-09-23 |
| 1528303484 | Elite Periodontics PC | Dentist | 2124 Ogden Ave, Suite 104, Aurora, IL 60504-7514 | 2012-12-04 |
| 1356519540 | Pinelopi Xenoudi | Dentist | 13065 E 17th Ave, University of Colorado, School of Dental Medicine, Aurora, CO 80045-2532 | 2008-02-11 |
| Find all providers in AURORA | ||||
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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.