JOHNSON FAMILY DENTAL CARE LLC (NPI# 1750651527) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750651527 |
| Entity Type | Organization |
| Organization Name | JOHNSON FAMILY DENTAL CARE LLC |
| Other Organization Name | JOHNSON FAMILY DENTAL CARE |
| Practice Address |
401 Jewett St Marshall MN 56258-2605 |
| Practice Telephone | 5075323104 |
| Practice Fax Number | 5075371347 |
| Mailing Telephone | 5075323104 |
| Mailing Fax Number | 5075371347 |
| Enumeration Date | 2012-01-10 |
| Last Update Date | 2013-07-24 |
| Authorized Official Name | DR. PAUL D JOHNSON (OWNER) |
| Authorized Official Telephone | 5075323104 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
9099 | MN | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| UNITED CONCORDIA | 810572 | 01 | |
| BLUE CROSS BLUE SHIELD | 46120JO | 01 | |
| MINNESOTA MEDICAL ASSISTANCE | 128218200 | 01 |
| Other Name | Type Code |
|---|---|
| Johnson Family Dental Care | Doing Business As Name - Organization |
| Street Address |
401 JEWETT ST |
| City | MARSHALL |
| State | MN |
| Zip Code | 56258-2605 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245332659 | Paul D Johnson | Dentist | 401 Jewett St, Marshall, MN 56258-2605 | 2006-09-05 |
| 1811553894 | Amy Jo Full | Dentist | 401 Jewett St, Marshall, MN 56258-2605 | 2019-05-14 |
| 1144580358 | Bartholomew Paul Johnson | Dentist | 401 Jewett St, Marshall, MN 56258-2605 | 2012-05-22 |
| 1598059933 | Lindsay Hegland | Dentist | 401 Jewett St, Marshall, MN 56258-2605 | 2011-06-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285140012 | Action Manufacturing Inc | Durable Medical Equipment & Medical Supplies | 1105 Lake Road, Marshall, MN 56258 | 2017-12-15 |
| 1124579123 | Themarshrx | Durable Medical Equipment & Medical Supplies | 600 Sherman Ave, Marshall, MN 56258 | 2016-10-14 |
| 1780020370 | Heritage Pointe Senio | Assisted Living Facility | 207 N 4th Street, Marshall, MI 56258 | 2013-05-22 |
| 1528351178 | Lori Anne Lynner | Family Medicine | 3160 Us Hwy 59, Marshall, MN 56258 | 2011-05-16 |
| 1912148545 | Tami J Behnke | Counselor | 1418 State Street, Campus Religious Center, Marshall, MN 56258 | 2009-03-11 |
| 1073768396 | Sharyce Marie Audiology Inc | Audiologist | 1424 East College Drive, Suite 200, Marshall, MN 56258 | 2008-12-01 |
| 1497976625 | Erica Anne Jost | Specialist/Technologist | 1501 State Street, Marshall, MN 56258 | 2007-05-02 |
| 1265597470 | Nancy Louise Hemmingson | Optometrist | 300 S Bruce Street, Avera Marshall Southwest Ophthalmology, Marshall, MN 56258 | 2006-12-27 |
| 1407928187 | Midwest Vision Centers Inc | Technician/Technologist | 1113 E College Drive, Marshall, MN 56258 | 2006-11-15 |
| 1306918354 | Paul Joseph Puetz | Chiropractor | 111 Jewett St, Marshall, MN 56258 | 2006-11-14 |
| Find all providers in zip 56258 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386816189 | Ashley and Gray Dds | Clinic/Center | 917 S Odell Ave, Marshall, MO 65340-2603 | 2008-04-01 |
| 1184195042 | Wright Dental LLC | Clinic/Center | 263 S Jefferson Ave, Marshall, MO 65340-2134 | 2018-12-17 |
| 1962918425 | Marshall Dental Care, LLC | Clinic/Center | 263 S Jefferson Ave, Marshall, MO 65340-2134 | 2017-12-20 |
| 1720401581 | H&l Orthodontics, Pllc | Clinic/Center | 513 Jewett St, Marshall, MN 56258-2645 | 2014-01-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033710025 | Theresa M. Snell | Clinic/Center | 580 5th Ave Nw Ste 100, New Brighton, MN 55112-2836 | 2020-11-05 |
| 1376143248 | James M. Williams, D.d.s., P.a. | Clinic/Center | 620 Union St S, Mora, MN 55051-1818 | 2020-10-29 |
| 1235746058 | Asp Dental, PC | Clinic/Center | 17705 Hutchins Dr Ste 201, Minnetonka, MN 55345-4103 | 2020-09-25 |
| 1952918781 | Asp Dental, PC | Clinic/Center | 9800 Shelard Pkwy Ste 130, Plymouth, MN 55441-6451 | 2020-09-25 |
| 1518574532 | Stillwater Family Dental | Clinic/Center | 13481 60th St N Ste 100, Oak Park Heights, MN 55082-1089 | 2020-09-24 |
| 1093321531 | Barnett Dental Inc | Clinic/Center | 7962 Sunwood Dr Nw Ste 200, Ramsey, MN 55303-5172 | 2020-09-21 |
| 1356955868 | Todd A Brewer Dds Pllc | Clinic/Center | 603 Jefferson Ave Sw, Watertown, MN 55388 | 2020-09-02 |
| 1770195158 | Mark T. Sherman Dds Pa | Clinic/Center | 31011 Rasmussen Rd, Pequot Lakes, MN 56472-1227 | 2020-08-18 |
| 1689286015 | Lifelong Dental Care | Clinic/Center | 1525 Livingston Ave Ste B, West St Paul, MN 55118-3430 | 2020-08-18 |
| 1528678497 | Custom Smiles Dentistry, Pllc | Clinic/Center | 2258 Bunker Lake Blvd Nw, Andover, MN 55304-3900 | 2020-08-05 |
| Find all providers with the same taxonomy | ||||
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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.