DR. SCOTT A JOHNSON


Address: 3940 Ingersoll Ave, Des Moines, IA 50312-3506
Phone: 5152749151

DR. SCOTT A JOHNSON (NPI# 1548231434) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1548231434
Entity Type Individual
Full Name DR. SCOTT A JOHNSON
Credential D.D.S., M.D.
Practice Address 3940 Ingersoll Ave
Des Moines
IA 50312-3506
Practice Telephone 5152749151
Practice Fax Number 5152741472
Mailing Telephone 5152749151
Mailing Fax Number 5152741472
Enumeration Date 2006-01-30
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor X

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223S0112X Dentist
Specialization: Oral and Maxillofacial Surgery
07989 IA Dental Providers

Other Provider Identifier

State Issuer Identifier Type Code
IA MEDICAL LICENSE NUMBER 36325 01

Other Providers SCOTT JOHNSON

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1861893984 Scott Andrew Johnson Social Worker 1250 William Floyd Pkwy, Shirley, NY 11967-1809 2014-09-08
1376825356 Scott Andrew Johnson Physical Therapist 51600 Huntington Rd Ste B, La Pine, OR 97739-8887 2011-09-15
1801125075 Scott Rene Johnson Pharmacist 6803 Pinehearth Ct, Spring, TX 77379 2009-12-16
1437367919 Scott Alan Johnson Physical Therapist 91 Goldengate Drive, Centerville, OH 45459 2007-05-18
1063629293 Scott Marvin Johnson Pharmacist 15100 N 90th St, Scottsdale, AZ 85260-2769 2007-05-17
1275740458 Scott Johnson Marriage & Family Therapist 920 Nellies Cave Rd, Blacksburg, VA 24060-6029 2007-05-17

Office Location

Street Address 3940 INGERSOLL AVE
City DES MOINES
State IA
Zip Code 50312-3506

Providers in the same location

NPI Name Taxonomy Address Enumeration
1659342848 Marvin C Jepsen Dentist 3940 Ingersoll Ave, Des Moines, IA 50312-3506 2006-01-27
1760453757 Dennis J Lowman Dentist 3940 Ingersoll Ave, Des Moines, IA 50312-3506 2006-01-30
1669443651 Jeffery A Schwarzkopf Dentist 3940 Ingersoll Ave, Des Moines, IA 50312-3506 2006-01-30
1558332445 John A Frank Dentist 3940 Ingersoll Ave, Des Moines, IA 50312-3506 2006-01-30
1275504177 Oral Surgeons, P.C. Dentist 3940 Ingersoll Ave, Des Moines, IA 50312-3506 2006-01-30

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1942837976 Devon Anderson Student in an Organized Health Care Education/Training Program Des Moines University Pa Program, 3200 Grand, Des Moines, IA 50312 2020-03-27
1578190583 Christian Ostrander Student in an Organized Health Care Education/Training Program Des Moines University-pa Program 3200 Grand Avenue, Des Moines, IA 50312 2020-03-27
1194209312 Margaret Dedecker Speech-Language Pathologist 644 24th St., Des Moines, IA 50312 2018-09-24
1942702410 Nelson-kirby Therapy & Consulting Services, LLC Marriage & Family Therapist 3900 Ingersoll Avenue Suite 108, Des Moines, IA 50312 2018-03-01
1851839864 Lawrence Scanlon Counselor 412 42nd St, Des Moines, IA 50312 2017-02-09
1104275122 Melissa Joshel Social Worker 2116 Grand Ave Ste 2, Des Moines, IA 50312 2016-06-09
1629435813 Abby Michele Miller Acupuncturist 531 40th Street, Des Moines, IA 50312 2016-01-20
1326410689 Dawn Theresa Corriere Advanced Practice Midwife 3714 Ingersoll Ave, Des Moines, IA 50312 2015-10-27
1336558154 Paul Johnston Counselor 600 42nd Street, Des Moines, IA 50312 2014-08-06
1083847214 Mark David Ravreby Internal Medicine 3663 Grand Ave, #204, Des Moines, IA 50312 2009-09-04
Find all providers in zip 50312

Taxonomy Information

Taxonomy Code 1223S0112X
Grouping Dental Providers
Classification Dentist
Specialization Oral and Maxillofacial Surgery

Taxonomy Definition

The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
Notes: Source: Council on Dental Education and Licensure, American Dental Association

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1386087658 Michael Morio Dentist 7400 Fleur Dr Ste 200, Des Moines, IA 50321-3105 2013-04-16
1801093067 Ryan A Marsh Dentist 7400 Fleur Dr, Ste 200, Des Moines, IA 50321-3105 2007-06-29
1386847630 John D. Janulewicz Dentist 7400 Fleur Drive, Suite 200, Des Moines, IA 50321-3104 2007-06-06
1659342848 Marvin C Jepsen Dentist 3940 Ingersoll Ave, Des Moines, IA 50312-3506 2006-01-27
1073937223 Brock Radich Dentist 7400 Fleur Dr Ste 200, Des Moines, IA 50321-3105 2014-02-07
1083860985 Luke James Freml Dentist 7400 Fleur Dr, Des Moines, IA 50321-3105 2008-08-11
1760453757 Dennis J Lowman Dentist 3940 Ingersoll Ave, Des Moines, IA 50312-3506 2006-01-30
1669443651 Jeffery A Schwarzkopf Dentist 3940 Ingersoll Ave, Des Moines, IA 50312-3506 2006-01-30
1558332445 John A Frank Dentist 3940 Ingersoll Ave, Des Moines, IA 50312-3506 2006-01-30
1275504177 Oral Surgeons, P.C. Dentist 3940 Ingersoll Ave, Des Moines, IA 50312-3506 2006-01-30
Find all providers in DES MOINES

Competitor

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City DES MOINES
Zip Code 50312

Improve Information

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Dataset Information

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.

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