AUSTIN C JOHNSON (NPI# 1770063208) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770063208 |
| Entity Type | Individual |
| Full Name | AUSTIN C JOHNSON |
| Credential | D.D.S. |
| Practice Address |
12720 Kansas Ave Boak Dental Clinic Fort Leonard Wood Apo AA 65584 |
| Mailing Address |
140 Ridgeview Dr Saint Robert MO 65584-8614 |
| Practice Telephone | 5735961470 |
| Mailing Telephone | 9016437576 |
| Enumeration Date | 2018-08-15 |
| Last Update Date | 2018-08-15 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
DS0000010769 | TN | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568089787 | Austin Johnson | Physician Assistant | 2200 E Show Low Lake Rd, Show Low, AZ 85901-7831 | 2020-07-03 |
| 1750926721 | Austin Frank Johnson | Pharmacist | 393 Front St, Hempstead, NY 11550-4026 | 2019-11-13 |
| 1982264818 | Austin Johnson | Behavior Technician | 209 E Gordon Ave, Layton, UT 84041-2341 | 2019-06-13 |
| 1831756352 | Austin Johnson | Behavior Technician | 101 H St Ste L, Petaluma, CA 94952-5100 | 2019-05-20 |
| 1679139760 | Austin Johnson | Behavior Technician | 4000 San Ernesto Ave, Anchorage, AK 99508-2874 | 2019-05-14 |
| 1194213793 | Austin Johnson | Student in an Organized Health Care Education/Training Program | 101 Manning Dr, Chapel Hill, NC 27514-4220 | 2018-04-29 |
| 1225536212 | Austin J Johnson | Social Worker | 1525 Plumas Ct Ste C&d, Yuba City, CA 95991-2971 | 2018-01-25 |
| 1649712068 | Austin Johnson | Case Manager/Care Coordinator | 700 Centre Ave, Fort Collins, CO 80526-2023 | 2016-11-16 |
| 1538616982 | Austin Micaiah Johnson | Student in an Organized Health Care Education/Training Program | 180 N Oakland Ave, Pasadena, CA 91101-1714 | 2016-09-01 |
| 1013378264 | Austin Johnson | Counselor | 55 Westchester Sq, Bronx, NY 10461-3525 | 2016-03-16 |
| Street Address |
12720 KANSAS AVE BOAK DENTAL CLINIC FORT LEONARD WOOD |
| City | APO |
| State | AA |
| Zip Code | 65584 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255965851 | Ema Francesca Carman | Behavior Technician | 496 Historic Route 66, Saint Robert, MO 65584 | 2020-02-24 |
| 1982105177 | Clayton Harmening | Behavior Technician | 122 Kale Ct, Saint Robert, MO 65584 | 2018-02-23 |
| 1467894972 | Robert Duaine Knapp | Dentist | 255 Eastlawn, Saint Robert, MO 65584 | 2013-07-25 |
| 1417293499 | Willie James Curry | Counselor | 571 Old Route 66, Saint Robert, MO 65584 | 2012-12-20 |
| 1760730329 | Aaron Jacob Weisberger | Dentist | 155 Kale Ct, St. Robert, MO 65584 | 2012-08-29 |
| 1023281615 | George H Bailey Dds PC | Dentist | 255 Eastlawn Ave, St Robert, MO 65584 | 2008-04-04 |
| 1053444323 | James Brandon Reeves | Physical Therapist | 608 Old Rt. 66, St. Robert, MO 65584 | 2007-03-14 |
| 1760513998 | Primrose Residential Care | Clinic/Center | 121 Primrose Lane, St. Robert, MO 65584 | 2007-03-08 |
| 1417038597 | Wal-mart Stores East, Lp | Technician/Technologist | 185 St. Robert Blvd., St. Robert, MO 65584 | 2006-10-17 |
| 1316976582 | Saima Jabeen | Internal Medicine | 608 City Route 66, St. Robert, MO 65584 | 2006-07-01 |
| Find all providers in zip 65584 | ||||
| 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 |
|---|---|---|---|---|
| 1154938520 | Jacob Steven Blackhurst | Dentist | Bldg 4-1838 Normandy Dr, Apo, AA 28307-7302 | 2020-09-29 |
| 1669088852 | Matthew Dejong | Dentist | Kleber Dental Clinic, Bldg 3287, Apo, AE 09227 | 2020-09-22 |
| 1184236895 | Christina Belousov | Dentist | 14351 Battalion Ave, Apo, AA 76544 | 2020-08-24 |
| 1417503459 | Cooper Pasque | Dentist | 1838 Normandy Dr., Fort Bragg, Apo, AA 28310 | 2019-08-15 |
| 1659927937 | Benjamin Kyunghan Yoon | Dentist | 618th Dental Company, Carius Dental Clinic Unit #15652, Attn: Credentails Coordinator, Apo, AP 96271-5245 | 2019-08-13 |
| 1477108967 | Shane Clay Hoffner | Dentist | 618th Dental Co, Carius Dental Clinic Bldg# P3020, Attn: Credentials Office, Apo, AP 96271-5245 | 2019-08-02 |
| 1740848449 | Samuel Kong Hmong Lo | Dentist | Carius Dental Clinic, Unit 15652, Apo, AP 96271 | 2019-05-29 |
| 1437712130 | Andrea Rose Deese | Dentist | Raf Lakenheath 48 Mdg / Sghc, Unit 5115, Apo, AE 09461-5115 | 2019-04-17 |
| 1871052837 | Ryan Kenny Zarnowski | Dentist | 673 Mdg, 5955 Zeamer Avenue, Jber, Ak 99506, Apo, AA 99506 | 2019-03-18 |
| 1619440922 | Joo Park | Dentist | Cmr 402 Unit 33301, Apo, AE 09180 | 2019-01-09 |
| Find all providers in APO | ||||
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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.