JOHNSON HEALTH CENTER (NPI# 1609203652) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609203652 |
| Entity Type | Organization |
| Organization Name | JOHNSON HEALTH CENTER |
| Other Organization Name | BEDFORD COMMUNITY DENTAL CENTER |
| Practice Address |
600 Bedford Ave Bedford VA 24523-2452 |
| Mailing Address |
134 Elon Rd Madison Heights VA 24572-1966 |
| Practice Telephone | 4349291400 |
| Practice Fax Number | 4349290410 |
| Mailing Telephone | 4344552480 |
| Enumeration Date | 2013-10-07 |
| Last Update Date | 2019-09-04 |
| Authorized Official Name | MR. GARY CAMPBELL (CEO) |
| Authorized Official Telephone | 4344552480 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | 1609203652 | 05 |
| Other Name | Type Code |
|---|---|
| Bedford Community Dental Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871760710 | Johnson Health Center | Clinic/Center | 239 Trojan Lane, Madison Heights, VA 24572-5346 | 2008-05-09 |
| 1467570168 | Johnson Health Center | Clinic/Center | 104 Carolina Avenue, Brookneal, VA 24528 | 2007-03-27 |
| 1154888675 | Johnson Health Center | Pharmacy | 582 Blue Ridge Ave, Bedford, VA 24523-2604 | 2019-02-21 |
| 1346748019 | Johnson Health Center | Clinic/Center | 620 Court St, Lynchburg, VA 24504-1312 | 2018-01-29 |
| 1881102655 | Johnson Health Center | Clinic/Center | 925 Village Hwy, Rustburg, VA 24588-4591 | 2018-01-16 |
| 1508231036 | Johnson Health Center | Clinic/Center | 200 Amelon Sq, Madison Heights, VA 24572-5981 | 2015-12-09 |
| 1609203538 | Johnson Health Center | Clinic/Center | 582 Blue Ridge Ave, Bedford, VA 24523-2604 | 2013-10-10 |
| 1710314653 | Johnson Health Center | Clinic/Center | 407 Federal St, Lynchburg, VA 24504-2306 | 2013-10-10 |
| 1972858660 | Johnson Health Center | Clinic/Center | 134 Elon Rd, Madison Heights, VA 24572-2536 | 2012-07-18 |
| 1962709287 | Johnson Health Center | Pharmacy | 320 Federal St, Lynchburg, VA 24504-2306 | 2011-02-23 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | JOHNSON HEALTH CENTER | 134 Elon Road, Madison Heights, Virginia 24572 |
| Indiana Business Entities | JOHNSON HEALTH CENTER INC. | 114 N. Calumet Road, Chesterton, IN 46304 |
| Street Address |
600 BEDFORD AVE |
| City | BEDFORD |
| State | VA |
| Zip Code | 24523-2452 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649262437 | Jose Antonio Cintron Sostre | Dentist | 600 Bedford Ave, Bedford, VA 24523-1966 | 2005-08-17 |
| 1851704001 | Brandon Watkins Newcomb | Dentist | 600 Bedford Ave, Bedford, VA 24523-1966 | 2014-06-05 |
| 1366752651 | Centra Health Professional Services, LLC | Obstetrics & Gynecology | 600 Bedford Ave, Bedford, VA 24523-1966 | 2010-10-20 |
| 1427018977 | Commonwealth of Virginia State Board of Health | Public Health or Welfare | 600 Bedford Ave, Bedford, VA 24523-1966 | 2006-03-27 |
| 1972590941 | Clair Lea Mcstacy | Advanced Practice Midwife | 600 Bedford Ave, Bedford, VA 24523-1966 | 2005-10-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952912107 | Mary Hunter T Barrow | Speech-Language Pathologist | 301 South Bridge St, Bedford, VA 24523 | 2020-08-12 |
| 1578196127 | Professional Therapies of Roanoke Inc. | Clinic/Center | 1380 American Way Court, Unit C, Bedford, VA 24523 | 2020-02-21 |
| 1982242202 | Andrew Jason White | Occupational Therapist | 1229 Country Farm Rd, Bedford, VA 24523 | 2019-12-17 |
| 1841704590 | Bosang & Chandler, Inc. | Registered Nurse | 2003 Joseph's Way, Bedford, VA 24523 | 2017-11-16 |
| 1720534944 | Courtney Wills | Community Health Worker | 1012 Laurel Street, Bedford, VA 24523 | 2016-08-28 |
| 1255710547 | Family Preservation Services, Inc | Community/Behavioral Health | 1059 Turning Point Road, Bedford, VA 24523 | 2015-05-20 |
| 1780082388 | Americare Plus, LLC | In Home Supportive Care | 118 South Bridge Street, Bedford, VA 24523 | 2014-12-12 |
| 1962764076 | Jared Paul Quesenberry | Optometrist | 1332 Lowry St, Suite A, Bedford, VA 24523 | 2012-06-13 |
| 1336379049 | Judith Ann Bair | Social Worker | 1105 Maiden Lane, Bedford, VA 24523 | 2009-07-16 |
| 1770662272 | Pamela L Thompson | Physical Therapist | 1364 American Way Village, Heartland Rehabilitation Services of Virginia Inc, Bedford, VA 24523 | 2006-11-03 |
| Find all providers in zip 24523 | ||||
| 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 |
|---|---|---|---|---|
| 1104342286 | Grant Michael Hardisty | Dentist | 924 Williams Park Dr, Bedford, IN 47421-6713 | 2017-08-20 |
| 1750738019 | Floss and Gloss | Dentist | 505 N Industrial Blvd, #800, Bedford, TX 76021-6168 | 2016-05-17 |
| 1669853503 | Durga Buchupally | Dentist | 2212 Central Dr Ste 101, Bedford, TX 76021-5835 | 2015-06-16 |
| 1962827709 | Rizwaan Rauf, Dds Pllc | Dentist | 4105 Highway 121, 610, Bedford, TX 76021-3039 | 2014-03-04 |
| 1205186814 | Dulcimeire Schulmeyer | Dentist | 1404 Brown Trl Ste C, Bedford, TX 76022-6417 | 2012-09-12 |
| 1124387196 | 1-stop Dental Pllc | Dentist | 2101-150 Hardwood Road, Unit #6, Bedford, TX 76021 | 2012-05-11 |
| 1972819985 | Prachi Vartikar | Dentist | 3704 Cheek-sparger Road, Suite100, Bedford, TX 76201 | 2010-08-27 |
| 1780859934 | Susan Christine Millner | Dentist | 3808 Victoria Ct, Bedford, TX 76021-6159 | 2008-04-29 |
| 1073781852 | John C Holmes | Dentist | 448c Old Post Rd, Bedford, NY 10506 | 2008-02-14 |
| 1053590646 | Eugene Michael Tedaldi Sr. | Dentist | Main Street 26-28 Village Green, Suite 5, Bedford, NY 10506 | 2007-10-31 |
| Find all providers in BEDFORD | ||||
Please comment or provide details below to improve the information on JOHNSON HEALTH CENTER.
| 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.