DR. REUBEN JOHNSON (NPI# 1750646261) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750646261 |
| Entity Type | Individual |
| Full Name | DR. REUBEN JOHNSON |
| Credential | D.D.S. |
| Practice Address |
5127 Parkglen Ave Los Angeles CA 90043-1033 |
| Practice Telephone | 6502700556 |
| Mailing Telephone | 6502700556 |
| Enumeration Date | 2012-07-10 |
| Last Update Date | 2020-06-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223E0200X |
Dentist Specialization: Endodontics |
63515 | CA | Dental Providers |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174563217 | Reuben Dempsey Johnson | Emergency Medicine | 400 S Kingshighway Blvd, Saint Louis, MO 63110-1014 | 2006-06-07 |
| Street Address |
5127 PARKGLEN AVE |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90043-1033 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841772209 | Ichizo Yamada | Counselor | 5318 S Crenshaw Blvd., Los Angeles, CA 90043 | 2018-09-02 |
| 1568961613 | Marnelle Mascardo | Counselor | 5318 S. Crenshaw Blvd., Los Angeles, CA 90043 | 2018-02-05 |
| 1700315199 | Positive Imagery Foundation | Prevention Professional | 5906 7th Avenue, Suite 1, Los Angeles, CA 90043 | 2017-06-08 |
| 1770946303 | Toby Lapesarde | Licensed Vocational Nurse | 5300 Angeles Vista Boulevard, Los Angeles, CA 90043 | 2016-03-31 |
| 1134591480 | Coast Wise Solution | Case Management | 2728 54th St, Los Angeles, CA 90043 | 2015-10-27 |
| 1033589155 | Nina Gonzaga | Marriage & Family Therapist | 4401 Crendshaw Blvd, #300, Los Angeles, CA 90043 | 2015-10-01 |
| 1861743189 | Donna M. Tizenor-tate | Counselor | 5300 Angeles Vista Blvd., Los Angeles, CA 90043 | 2012-09-26 |
| 1952657736 | Willie Frank Sibley Jr. | General Practice | 4330 Monteith Dr, Los Angeles, CA 90043 | 2012-07-30 |
| 1639449119 | Nelson M Okeke | Counselor | 8814 S. Western Ave, La, CA 90043 | 2011-12-30 |
| 1578840799 | Economic Services, Incorporated | Exclusive Provider Organization | 5144 Crenshaw Blvd., Los Angeles, CA 90043 | 2011-11-16 |
| Find all providers in zip 90043 | ||||
| Taxonomy Code | 1223E0200X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Endodontics |
| The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558984799 | Integrative Endodontics, Inc | Dentist | 10850 Wilshine Blvd Ste 301, Los Angeles, CA 90027 | 2020-05-22 |
| 1295291276 | Kevin B. Seto, D.d.s, M.s., P.C. | Dentist | 8930 S Sepulveda Blvd Ste 101, Los Angeles, CA 90045-3606 | 2019-02-14 |
| 1063978252 | Chang Kattar Dental Corporation | Dentist | 8540 S Sepulveda Blvd Ste 1210, Los Angeles, CA 90045-3819 | 2019-02-13 |
| 1407334683 | Jose Ignacio Perea | Dentist | 12300 Wilshire Blvd Ste 404, Los Angeles, CA 90025-1061 | 2018-07-31 |
| 1336675354 | Berlin and Levitt Dental Partnership | Dentist | 1050 S Grand Ave, Suite 2, Los Angeles, CA 90015-4284 | 2017-05-11 |
| 1851832703 | Ana Paola Meneses Zambrano | Dentist | 11905 S Central Ave Ste 203, Los Angeles, CA 90059-2897 | 2017-03-12 |
| 1629407135 | Hiri Etessami | Dentist | 9201 W Sunset Blvd Ste 908, Los Angeles, CA 90069-3710 | 2013-11-05 |
| 1932499100 | Roberto Roges | Dentist | 8540 S Sepulveda Blvd Ste 1117, Los Angeles, CA 90045-3819 | 2011-04-08 |
| 1063725638 | Pejman Parsa | Dentist | 10921 Wilshire Blvd Ste 1203, Los Angeles, CA 90024-4005 | 2010-07-23 |
| 1902044068 | Arya Tehrany | Dentist | 2933 Lakeridge Dr, Los Angeles, CA 90068-1807 | 2009-01-28 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90043 |
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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.