STACY D JOHNSON DDS PC (NPI# 1760091847) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760091847 |
| Entity Type | Organization |
| Organization Name | STACY D JOHNSON DDS PC |
| Practice Address |
3056 W Stones Crossing Rd Greenwood IN 46143-6484 |
| Practice Telephone | 3175357141 |
| Mailing Telephone | 3175357141 |
| Enumeration Date | 2020-07-24 |
| Last Update Date | 2020-07-24 |
| Authorized Official Name | DR. STACY DUANE JOHNSON (PRESIDENT) |
| Authorized Official Telephone | 3174310837 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | Y |
| Parent Organization Name | STACY D JOHNSON DDS PC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| Other Name | Type Code |
|---|---|
| Sleep Better Healthcare | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619586773 | Stacy D Johnson Dds PC | Clinic/Center | 3056 W Stones Crossing Rd, Greenwood, IN 46143-6484 | 2020-07-24 |
| Street Address |
3056 W STONES CROSSING RD |
| City | GREENWOOD |
| State | IN |
| Zip Code | 46143-6484 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568511582 | Stacy Duane Johnson | Dentist | 3056 W Stones Crossing Rd, Greenwood, IN 46143 | 2007-01-09 |
| 1982205415 | Stacy D Johnson, Dds, PC | Clinic/Center | 3056 W Stones Crossing Rd, Greenwood, IN 46143-6484 | 2020-11-02 |
| 1619586773 | Stacy D Johnson Dds PC | Clinic/Center | 3056 W Stones Crossing Rd, Greenwood, IN 46143-6484 | 2020-07-24 |
| 1710335401 | Jacob Daniel Long | Dentist | 3056 W Stones Crossing Rd, Greenwood, IN 46143-6484 | 2016-06-02 |
| 1720443831 | Sleep Better Healthcare PC | Durable Medical Equipment & Medical Supplies | 3056 W Stones Crossing Rd, Greenwood, IN 46143-6484 | 2015-12-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891395299 | Tiffany Smirat | Pharmacist | 882 S Sr 135, Greenwood, IN 46143 | 2020-10-27 |
| 1083250138 | Benajmin Thomas Nyboer | Pharmacist | 5961 North State Road 135, Kroger Pharmacy, Greenwood, IN 46143 | 2019-11-25 |
| 1609417260 | Orthopaedics-indianapolis, Inc | Orthopaedic Surgery | 1579 Olive Branch Parke Lane, Suite 130, Greenwood, IN 46143 | 2019-10-04 |
| 1194282525 | Homebased Mental Health Service | Case Management | 2244 Blossom Dr, Greenwood, IN 46143 | 2019-02-21 |
| 1710478078 | Anne E Packard | Pharmacist | 333 E County Line Rd # 101, Greenwood, IN 46143 | 2018-05-22 |
| 1033607924 | Ez Clinic Inc. | Nurse Practitioner | 494 S Emerson Ave Ste I, Greenwood, IN 46143 | 2018-04-25 |
| 1891246633 | Kroger Limited Partnership I | Durable Medical Equipment & Medical Supplies | 5961 N Sr 135, Greenwood, IN 46143 | 2016-10-17 |
| 1477919637 | Ourhealth Physicians Group, LLC | Clinic/Center | 1273 N Emerson Ave Ste H, Greenwood, IN 46143 | 2016-01-04 |
| 1003212655 | American Health Network of Indiana, LLC | Non-Pharmacy Dispensing Site | 2355 Endress Place St A, Healthy Measures Wellness Clinic, Greenwood, IN 46143 | 2014-11-10 |
| 1265831366 | Katie D'agosto | Counselor | 3000 S State Road 135 Ste 230, Greenwood, IN 46143 | 2014-08-14 |
| Find all providers in zip 46143 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831673003 | Franciscan Health Olympia Fields & Chicago Heights | Durable Medical Equipment & Medical Supplies | 1040 Greenwood Springs Blvd Ste 2c, Greenwood, IN 46143-7975 | 2018-09-24 |
| 1790297836 | Richard Bador Brooks | Durable Medical Equipment & Medical Supplies | 637 Brookview Dr, Greenwood, IN 46142-1802 | 2017-10-30 |
| 1891246633 | Kroger Limited Partnership I | Durable Medical Equipment & Medical Supplies | 5961 N Sr 135, Greenwood, IN 46143 | 2016-10-17 |
| 1770960247 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 300 Bypass 25 Ne, Greenwood, SC 29646-3009 | 2015-05-04 |
| 1811388630 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 882 S State Road 135, Greenwood, IN 46143-9412 | 2015-02-16 |
| 1760721666 | Diaper Man LLC | Durable Medical Equipment & Medical Supplies | 400 E Jefferson Ave, Greenwood, MS 38930-3619 | 2013-02-12 |
| 1437498672 | Home Health Depot, Inc. | Durable Medical Equipment & Medical Supplies | 1052 Greenwood Springs Blvd, Suite H, Greenwood, IN 46143-6895 | 2013-02-07 |
| 1093085896 | Meijer Stores Limited Partnership | Durable Medical Equipment & Medical Supplies | 150 S Marlin Dr, Greenwood, IN 46142-1451 | 2012-01-10 |
| 1891002663 | Hook-superx, L.L.C. | Durable Medical Equipment & Medical Supplies | 402 Market Place Dr., Greenwood, IN 46142 | 2010-09-01 |
| 1316279979 | Greenwood Home Medical Supplies | Durable Medical Equipment & Medical Supplies | 108 Enterprise Ct, Greenwood, SC 29649-1666 | 2010-02-08 |
| Find all providers in GREENWOOD | ||||
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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.