DENNIS JOHNSON (NPI# 1639585011) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639585011 |
| Entity Type | Individual |
| Full Name | DENNIS JOHNSON |
| Credential | MD, PHD |
| Practice Address |
100 Mario Capecchi Dr Dept. of Pathology Slc UT 84113-1103 |
| Mailing Address |
600 Warren Rd Apt 10-2f Ithaca NY 14850-1830 |
| Practice Telephone | 8016622170 |
| Mailing Telephone | 2038244813 |
| Enumeration Date | 2014-07-07 |
| Last Update Date | 2014-07-07 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207SG0203X |
Medical Genetics Specialization: Clinical Molecular Genetics |
033683 | CT | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346671336 | Dennis Keith Johnson | Dentist | 3081 Hwy. 31 East, Tyler, TX 75702 | 2013-12-02 |
| 1225329857 | Dennis Johnson | Pharmacist | 740 Villa Ave, Fairfield, CT 06825-4835 | 2011-04-30 |
| 1750680617 | Dennis Lee Johnson | Registered Nurse | 1212 N. Calfornia, Stockton, CA 95202-1552 | 2011-03-17 |
| 1922241595 | Dennis L Johnson | Dentist | 1900 Crown Park Ct, Suite A, Columbus, OH 43235-2407 | 2009-04-13 |
| 1447447024 | Dennis R Johnson | Durable Medical Equipment & Medical Supplies | 2053 Stanton Rd, East Point, GA 30344-1311 | 2007-09-27 |
| 1124242813 | Dennis Douglas Johnson | Dentist | 410 Lancaster Dr Ne, Suite A, Salem, OR 97301-4794 | 2007-04-12 |
| 1972512432 | Dennis Elwood Johnson | Specialist | 1610 S Court St, Visalia, CA 93277-4946 | 2006-08-05 |
| 1316979537 | Dennis Allen Johnson | Dentist | 5726 W Orchid Ln, Glendale, AZ 85302-4654 | 2006-07-07 |
| 1245201003 | Dennis William Johnson | Family Medicine | 1050 29th Ave Sw, Albany, OR 97321-3416 | 2006-01-30 |
| 1447716758 | Dennis Jerome Johnson | Counselor | 2495 W March Ln, Stockton, CA 95207-8251 | 2019-02-12 |
| Street Address |
100 MARIO CAPECCHI DR DEPT. OF PATHOLOGY |
| City | SLC |
| State | UT |
| Zip Code | 84113-1103 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578962007 | Bonnie Larsen | Occupational Therapist | 100 Mario Capecchi Dr, Slc, UT 84113-1103 | 2014-08-20 |
| 1083037766 | Lyn Standing | Nurse Practitioner | 100 Mario Capecchi Dr, Slc, UT 84113-1103 | 2014-01-30 |
| 1245671247 | Mary Jo Grant | Nurse Practitioner | 100 Mario Capecchi Dr, Slc, UT 84113-1103 | 2013-07-08 |
| 1487999355 | Tara Lee Finnerty | Dietitian, Registered | 100 Mario Capecchi Dr, Slc, UT 84113-1103 | 2012-12-04 |
| 1740463595 | Tricia Hoggan | Nurse Practitioner | 100 Mario Capecchi Dr, Slc, UT 84113-1103 | 2007-12-14 |
| 1255432001 | John Taylor Smith | Orthopaedic Surgery | 100 Mario Capecchi Dr, 4550, Slc, UT 84113-1103 | 2006-09-26 |
| 1396762480 | Jared W Henricksen | Pediatrics | 100 Mario Capecchi Dr, Slc, UT 84113-1103 | 2006-07-16 |
| 1720033079 | Stephanie Marie Holmes | Orthopaedic Surgery | 100 Mario Capecchi Dr, 4550, Slc, UT 84113-1103 | 2006-05-24 |
| 1881649929 | Peter M Stevens | Orthopaedic Surgery | 100 Mario Capecchi Dr, 4550, Slc, UT 84113-1103 | 2006-05-24 |
| 1902859473 | Alan Kendrick Stotts | Orthopaedic Surgery | 100 Mario Capecchi Dr, Slc, UT 84113-1103 | 2006-05-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386111060 | Melissa Marie Dixon | Psychologist | Primary Children's Hospital Outpatient Services, 81 South Mario Capecchi Drive, Salt Lake City, UT 84113 | 2018-10-31 |
| 1366965618 | Ashley Stuart | Psychologist | 44 North Mario Capecchi Drive, Salt Lake City, UT 84113 | 2017-07-19 |
| 1487945135 | Justin C Wheeler | Pediatrics | 81 N Mario Capecchi Dr Fl 4, Salt Lake City, UT 84113 | 2011-04-29 |
| 1154612117 | Dana Boucek | Pediatrics | 100 North Mario Capecchi Dr., Primary Children's, Salt Lake City, UT 84113 | 2011-04-26 |
| 1285959502 | Anna Katherine Eyre Ermarth | Pediatrics | 81 Mario Capecchi, Salt Lake City, UT 84113 | 2010-03-30 |
| 1457682072 | Elizabeth K Cho | Nurse Practitioner | 100 North Mario Cappechi Dr., Salt Lake City, UT 84113 | 2010-01-21 |
| 1528290848 | Nancy Crandell Brown | Nurse Practitioner | 100 North Mario Cappechi Drive, Salt Lake City, UT 84113 | 2009-08-20 |
| 1679708481 | Primary Children's Medical Center | General Acute Care Hospital | 100 No. Mario Capecchi Drive, Salt Lake, UT 84113 | 2009-05-22 |
| 1467697235 | Tara Hook | Physical Therapist | 100 North Mario Capecchi Dr, Salt Lake City, UT 84113 | 2008-12-09 |
| 1144474768 | Jennifer K Workman | Pediatrics | 100 N Mario Capecchi Drive, Pediatric Crtical Care, Primary Children's Hospital, Salt Lake City, UT 84113 | 2008-11-10 |
| Find all providers in zip 84113 | ||||
| Taxonomy Code | 207SG0203X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Medical Genetics |
| Specialization | Clinical Molecular Genetics |
| A clinical molecular geneticist demonstrates competence in performing and interpreting molecular analyses relevant to the diagnosis and management of human genetic diseases and is a consultant regarding laboratory diagnosis of a broad range of inherited disorders. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Medical Genetics, 2007. http://www.abmg.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Medical Genetics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588229041 | Predictive Laboratories, Inc. | Medical Genetics | 2749 E Parleys Way Ste 100, Salt Lake City, UT 84109-1638 | 2019-05-09 |
| 1750369955 | Karla Renee Bowles | Medical Genetics | 320 Wakara Way, Salt Lake City, UT 84108 | 2006-01-06 |
| 1093968265 | Paolo M Moretti | Medical Genetics | 729 S Arapeen Dr, Salt Lake City, UT 84108-1218 | 2008-10-31 |
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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.