DR. SHARON A DISTANT JOHNSON (NPI# 1730170457) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730170457 |
| Entity Type | Individual |
| Full Name | DR. SHARON A DISTANT JOHNSON |
| Credential | DMD |
| Practice Address |
1575 Blondell Ave Bronx NY 10461-2660 |
| Mailing Address |
241 Claremont Ave Mt Vernon NY 10552-3305 |
| Practice Telephone | 7184058197 |
| Mailing Telephone | 9143746741 |
| Mailing Fax Number | 7189941308 |
| Enumeration Date | 2005-11-02 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 047401 | NY | Dental Providers |
| Street Address |
1575 BLONDELL AVE |
| City | BRONX |
| State | NY |
| Zip Code | 10461-2660 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861994394 | Richard Cheverie Heinl Jr. | Dentist | 1575 Blondell Ave, Bronx, NY 10461-2660 | 2018-02-28 |
| 1972863801 | Jelena Pavlovic | Psychiatry & Neurology | 1575 Blondell Ave, Suite 225, Bronx, NY 10461-2660 | 2012-05-25 |
| 1811294945 | Sharon Movsas | Dietitian, Registered | 1575 Blondell Ave, Montefiore Medical Park, Endocrinology, Suite 200, Bronx, NY 10461-2660 | 2011-02-25 |
| 1982926325 | Sarah Elizabeth Vollbracht | Psychiatry & Neurology | 1575 Blondell Ave, Suite 225, Bronx, NY 10461-2660 | 2010-02-26 |
| 1457506107 | Rebecca Levine | Surgery | 1575 Blondell Ave, Ste 125, Bronx, NY 10461-2660 | 2008-11-22 |
| 1881856755 | Laura Boucai | Internal Medicine | 1575 Blondell Ave, Division of Endocrinology, Bronx, NY 10461-2660 | 2008-07-01 |
| 1730367855 | Noreen C Flynn | Nurse Practitioner | 1575 Blondell Ave, Bronx, NY 10461-2660 | 2008-01-31 |
| 1194920496 | Montefiore Dental | Dentist | 1575 Blondell Ave, First Floor, Bronx, NY 10461-2660 | 2007-06-18 |
| 1124108774 | Steven M Keller | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1575 Blondell Ave, Suite 125, Bronx, NY 10461-2660 | 2006-10-17 |
| 1326151069 | Margaret Mary Schweizerhof | Registered Nurse | 1575 Blondell Ave, Suite 125, Bronx, NY 10461 | 2006-08-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427665975 | Zhanna Kleynerman | Pharmacist | R&a Drugs Inc, 2562 Est Tremont Ave, Bronx, NY 10461 | 2020-09-29 |
| 1245867738 | Dalia Duzdar | Student in an Organized Health Care Education/Training Program | 1400 Pelham Pkwy S Building 6, Suite B125, Bronx, NY 10461 | 2020-03-24 |
| 1306486667 | Alvin Antony Mathew | Physical Therapist | 1500 Blondell Ave., Bronx, NY 10461 | 2020-01-14 |
| 1295374007 | Felicia Bowman | Peer Specialist | 55 Westchester Square Bronx, 55 Westchester Square Bronx, Bronx, NY 10461 | 2019-12-26 |
| 1477191161 | Todd Benevento Jr. | Physical Therapist | 1250 Waters Place Tower One 10th Floor, Bronx, NY 10461 | 2019-12-13 |
| 1073173845 | Harriet Sarpong-blankson | Pharmacist | Jack D Weiler Hospital, 1825 Eastchester Road, Bronx, NY 10461 | 2019-06-14 |
| 1396300166 | Victoria Sliva | Psychologist | 1400 Pelham Pkwy S Bldg 19w, Bldg 1, 9w, Bronx, NY 10461 | 2019-05-07 |
| 1538723366 | Shuai Wang | Student in an Organized Health Care Education/Training Program | 1400 Pelham Parkway South Jacobi Medical Center, Bronx, NY 10461 | 2019-04-26 |
| 1457810079 | Morpheus Sleep Solutions Inc | Durable Medical Equipment & Medical Supplies | 3004 Middletown Road, Lower Level Unit 1, Bronx, NY 10461 | 2019-03-13 |
| 1922565118 | Metro Care Management LLC | Case Management | 2481 Rowe St, Bronx, NY 10461 | 2019-02-25 |
| Find all providers in zip 10461 | ||||
| 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 |
|---|---|---|---|---|
| 1831707959 | Jin Yan Mai-soto | Dentist | 1313 Balcom Ave Fl 1, Bronx, NY 10461-5801 | 2020-07-14 |
| 1144854431 | Ny Metro Dental, PC | Dentist | 55 Mosholu Parkway North, Bronx, NY 10467 | 2020-02-26 |
| 1730742362 | Elen Kirilovski | Dentist | 234 E 149th St Dept Of, Bronx, NY 10451-5504 | 2019-04-18 |
| 1366005969 | Janet Jeonghwa Lee | Dentist | 260 E 188th Street, St. Barnabas Hospital, 1st Floor, Division of Orthodontics, Bronx, NY 10458 | 2019-04-18 |
| 1265932883 | Danielle Alyssa Winters | Dentist | 3450 Wayne Ave Apt 26j, Bronx, NY 10467-2554 | 2018-02-20 |
| 1871026435 | Joy Kay Arthur | Dentist | 1775 Grand Concourse, 6th Floor, Bronx- Lebanon Hospital Center, Dept of Dentistry, Bronx, NY 10453 | 2017-04-10 |
| 1518325703 | Excellent Dental Inc | Dentist | 1197 River Ave, Bronx, NY 10452-8005 | 2016-02-03 |
| 1598134801 | Riverdale Urgent Care Dental, LLC | Dentist | 3509 Johnson Ave, Bronx, NY 10463-1602 | 2015-09-16 |
| 1306212519 | Jhansi Lakshmi Bodapati | Dentist | 234 E 194th St, Department 2a8, Bronx, NY 10458-4302 | 2015-08-12 |
| 1982096467 | Angel Strachan | Dentist | 1770 Grand Concourse Fl 6, Department of Dentistry, Bronx, NY 10457-5524 | 2015-02-20 |
| Find all providers in BRONX | ||||
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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.