DR. KENT MAX JOHNSON (NPI# 1679662837) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679662837 |
| Entity Type | Individual |
| Full Name | DR. KENT MAX JOHNSON |
| Credential | DDS |
| Practice Address |
1840 Sun Peak Dr Park City UT 84098-6732 |
| Practice Telephone | 4356580678 |
| Practice Fax Number | 4359401385 |
| Mailing Telephone | 4356580678 |
| Mailing Fax Number | 4359401385 |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
1434409921 | UT | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467466532 | Kent N Johnson | Dentist | 7138 Highland Dr, Suite 220, Salt Lake City, UT 84121-3757 | 2006-07-27 |
| 1437573508 | Kent Alan Johnson | Nurse Practitioner | 716 S Highway 77, Newkirk, OK 74647-7009 | 2014-02-10 |
| 1922393545 | Kent Johnson | Pharmacist | 3301 Highway 10 E, T0658, Moorhead, MN 56560-2516 | 2011-06-10 |
| 1528360518 | Kent Goulding Johnson | Pharmacist | 1414 Main St, Canon City, CO 81212-3906 | 2010-11-23 |
| 1962631903 | Kent Robert Johnson | Family Medicine | 10800 Magnolia Ave, Park Sierra Bldg. 2e, Riverside, CA 92505-3043 | 2009-07-13 |
| 1104079664 | Kent B Johnson | Dentist | 9176 I Ave, Hesperia, CA 92345-6526 | 2008-10-28 |
| 1992957971 | Kent Evan Johnson Jr. | Case Management | 2500 Wilshire Blvd, Los Angeles, CA 90057-4303 | 2008-10-21 |
| 1831315761 | Kent Michael Johnson | Chiropractor | 282 E Maiden St, Washington, PA 15301-4944 | 2007-04-18 |
| 1083741755 | Kent E Johnson | Dentist | 1513 Union Ave, Suite 2100, Moberly, MO 65270-9407 | 2007-02-28 |
| 1275677569 | Kent Lawrence Johnson | Pharmacist | 1775 Thompson Rd, Coos Bay, OR 97420-2125 | 2007-02-19 |
| Street Address |
1840 SUN PEAK DR |
| City | PARK CITY |
| State | UT |
| Zip Code | 84098-6732 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972069532 | Natasha Nicolle Peterson | Nurse Practitioner | Stat Md, 1784 Uinta Way E, Park City, UT 84098 | 2019-02-19 |
| 1750732079 | Rebecca Hansen | Physical Therapist | 1640 W Redstone Center Dr, Suite 200, Park City, UT 84098 | 2016-06-28 |
| 1497126130 | Megan Franz | Counselor | 3100 Pinebrook Rd, Park City, UT 84098 | 2015-10-07 |
| 1568752541 | Kortney James Stirland | Pharmacist | 750 Round Valley Drive #203, Park City, UT 84098 | 2011-04-12 |
| 1265763379 | Amy S Koch | Physical Therapy Assistant | 1640 West Redstone Drive, Suite 200, Park City, UT 84098 | 2010-01-29 |
| 1134374648 | Donna B Fischer | General Practice | 6531 N Landmark Dr., Park City, UT 84098 | 2008-11-25 |
| 1962659458 | Patricia A Lindsay Phd Inc | Psychologist | 1743 W Redstone Ctr Dr, #115, Park City, UT 84098 | 2008-08-26 |
| 1437314291 | Jeffrey S Holverson | Internal Medicine | 6240 N Snowview Dr, Park City, UT 84098 | 2008-07-22 |
| 1578728515 | Blair Archbold Smith | Physical Therapist | 6880 Canyon Drive Court, Park City, UT 84098 | 2008-07-18 |
| 1821255274 | Beth Anita Rylands | Physical Therapy Assistant | 1640 W. Redstone Center Dr., Suite 200, Park City, UT 84098 | 2008-05-21 |
| Find all providers in zip 84098 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245474428 | Jay E. Lieberman | Dentist | 559 Woodside Ave, Park City, UT 84060-0513 | 2009-05-01 |
| 1710137971 | Melissa Jane House | Dentist | 1615 E 61st St N Ste 300, Park City, KS 67219-1964 | 2008-09-24 |
| 1194992586 | Matthew Melvin Griffeth | Dentist | 1680 Ute Blvd, Suite B, Park City, UT 84098-7634 | 2008-05-14 |
| 1700068483 | James G Abraham II | Dentist | 1526 Ute Blvd # 113, Park City, UT 84098-7522 | 2007-12-04 |
| 1164624110 | Paul Innis Dmd Inc | Dentist | 6584 N. Creekside Lane, Park City, UT 84098 | 2007-06-01 |
| 1447478417 | Harini Jindal | Dentist | 1729 Sidewinder Dr, Ste 102, Park City, UT 84060-7322 | 2007-04-23 |
| 1396895702 | Michael Knight | Dentist | 3080 West Pinebrook Road, Suite #2000, Park City, UT 84098-5451 | 2007-01-11 |
| 1285713263 | Jeffrey H Gordon I | Dentist | 1764 Uinta Way Ste E1, Park City, UT 84098-7674 | 2006-11-02 |
| 1699883520 | Scott M Chandler | Dentist | 3080 Pinebrook Rd Ste 2000, Park City, UT 84098-5451 | 2006-08-29 |
| 1609875715 | Jonathan F Coleman | Dentist | 1441 Ute Blvd., Suite 200, Park City, UT 84098 | 2005-07-20 |
| Find all providers in PARK CITY | ||||
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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.