DR. DERRICK THOR JOHNSTON (NPI# 1578625091) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578625091 |
| Entity Type | Individual |
| Full Name | DR. DERRICK THOR JOHNSTON |
| Credential | D.D.S. |
| Practice Address |
2 Naco Rd Bisbee AZ 85603 |
| Mailing Address |
2 Naco Rd P.o. Box 1898 Bisbee AZ 85603 |
| Practice Telephone | 5204325371 |
| Practice Fax Number | 5204326658 |
| Mailing Telephone | 5204325371 |
| Mailing Fax Number | 5204326658 |
| Enumeration Date | 2006-12-14 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 2689 | AZ | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184852709 | Derrick Lynn Johnston | Urology | 5166 E Glenn St, Tucson, AZ 85712-1337 | 2009-06-23 |
| 1457481582 | Derrick A Johnston | Dentist | 455 Sheridan Rd, Noblesville, IN 46060-1315 | 2007-03-07 |
| Street Address |
2 NACO RD |
| City | BISBEE |
| State | AZ |
| Zip Code | 85603 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619221553 | Community Partners Integrated Healthcare, Inc. | Community/Behavioral Health | 24 Howell Avenue, Bisbee, AZ 85603 | 2012-10-30 |
| 1144525080 | Denice Maylene Gaddie | Acupuncturist | 125 Bisbee Rd., Bisbee, AZ 85603 | 2011-01-25 |
| 1295038529 | Arizona Counseling & Treatment Services, L.L.C. | Community/Behavioral Health | #24 Howell St., Bisbee, AZ 85603 | 2010-12-08 |
| 1467753673 | Robert W. Luigs | Counselor | 229a Tombstone Canyon, Bisbee, AZ 85603 | 2010-11-04 |
| 1245544162 | Ernestina S Buck | Counselor | 33 Subway St, Bisbee, AZ 85603 | 2010-08-03 |
| 1558588558 | Juliet Elizabeth Caudle Kihl | Registered Nurse | 519 Melody Ln, Bisbee, AZ 85603 | 2007-04-19 |
| 1003032194 | Candace Lynne Quibell | Social Worker | 907 B Tombstone Canyon, Bisbee, AZ 85603 | 2007-04-17 |
| 1902924806 | Faye Chapman Hoese | Counselor | 24 Howell Ave., Box 544, Bisbee, AZ 85603 | 2007-03-27 |
| 1831214493 | Pamela Rose Blunt | Social Worker | 43 Howell Avenue, Bisbee, AZ 85603 | 2007-03-20 |
| 1407928351 | Women's Transition Project, Inc. | Substance Abuse Rehabilitation Facility | 240 O'hara Avenue, Bisbee, AZ 85603 | 2006-11-15 |
| Find all providers in zip 85603 | ||||
| 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 |
|---|---|---|---|---|
| 1407456031 | Roger Ryan Roybal, Dds, Pllc | Dentist | 14300 N Northsight Blvd Ste 214, Scottsdale, AZ 85260-3677 | 2020-11-01 |
| 1851990444 | Shaveta Behl | Dentist | 320 E Mcdowell Rd Ste 221, Phoenix, AZ 85004-4516 | 2020-10-23 |
| 1083212575 | Rasha Adil Abduljabbar Al-kaabi | Dentist | 4750 E Union Hills Dr Apt 1076, Phoenix, AZ 85050-3366 | 2020-10-15 |
| 1124625793 | Gilbert Crossroads Kids' Dentists and Orthodontics, LLP | Dentist | 835 S. Gilbert Rd, Suite 104, Gilbert, AZ 85296 | 2020-10-06 |
| 1750998969 | Christie Jacques | Dentist | 7410 E Sutton Dr, Scottsdale, AZ 85260-3915 | 2020-09-30 |
| 1447865480 | Luke Michael Mangelsdorf | Dentist | 2249 Hualapai Mountain Rd Ste 1, Kingman, AZ 86401-8321 | 2020-09-15 |
| 1386258689 | Joshua Dutton | Dentist | 8325 W Happy Valley Rd Unit 100, Peoria, AZ 85383-4361 | 2020-09-03 |
| 1912510678 | Nicholas Ahn | Dentist | 1550 E Campbell Ave Apt 3028, Phoenix, AZ 85014-4271 | 2020-08-24 |
| 1992317143 | Justin S Dole | Dentist | 15125 N Scottsdale Rd Apt 303, Scottsdale, AZ 85254-3157 | 2020-08-19 |
| 1326659087 | Triple Eight Dental Group, Pllc | Dentist | 7910 W Thomas Rd Ste 118, Phoenix, AZ 85033-4830 | 2020-08-14 |
| Find all providers with the same taxonomy | ||||
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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.