DR. KAREN AGNETE JOHNSON (NPI# 1811057961) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811057961 |
| Entity Type | Individual |
| Full Name | DR. KAREN AGNETE JOHNSON |
| Credential | DDS |
| Practice Address |
112 S Main Street Clintonville WI 54929 |
| Practice Telephone | 7158232233 |
| Practice Fax Number | 7158235720 |
| Mailing Telephone | 7158232233 |
| Mailing Fax Number | 7158235720 |
| Enumeration Date | 2006-12-11 |
| Last Update Date | 2015-06-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 5325015 | WI | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346841384 | Karen Yvette Johnson | Counselor | 2500 Saint Christopher Cir Sw Apt 1, Wilson, NC 27893-4474 | 2020-11-05 |
| 1487252789 | Karen Sue Johnson | Psychologist | 1706 Nw 63rd Ter, Kansas City, MO 64118-3000 | 2020-10-09 |
| 1770180978 | Karen Johnson | Specialist/Technologist, Other | 5117 Savannah Pkwy, Southaven, MS 38672-7509 | 2020-10-01 |
| 1902413115 | Karen Johnson | Home Health Aide | 714 Greendale Dr, North Little Rock, AR 72117-4515 | 2020-09-30 |
| 1255954822 | Karen M Johnson | Registered Nurse | 7555 Franklin St, Iron River, WI 54847-3420 | 2020-05-18 |
| 1477197218 | Karen M Johnson | Social Worker | 4001 Main Street, Suite 202, Philadelphia, PA 19127 | 2019-11-05 |
| 1245894526 | Karen Michelle Johnson | Dietitian, Registered | 200 Golf Course Rd, Kosciusko, MS 39090-3227 | 2019-04-23 |
| 1568937753 | Karen Marie Johnson | Registered Nurse | 244 W 137th St Apt 1r, New York, NY 10030-2416 | 2018-10-04 |
| 1497265474 | Karen Sarro Johnson | Dietitian, Registered | 174 Lakeview Ave, Taunton, MA 02780-1109 | 2017-10-04 |
| 1467996058 | Karen Bowie Johnson | Registered Nurse | 6425 Taylor Oaks, Alexandria, LA 71301 | 2016-12-15 |
| Street Address |
112 S MAIN STREET |
| City | CLINTONVILLE |
| State | WI |
| Zip Code | 54929 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003045402 | Griebenow Eyecare, S.c. | Optometrist | 45 10th St., Clintonville, WI 54929 | 2009-07-07 |
| 1093835266 | William Henry Krueger | Chiropractor | E9180 Golf Club Road, Clintonville, WI 54929 | 2007-03-30 |
| 1255445680 | Leah K. Smejkal | Physical Therapist | 114 E. Greentree Road, Clintonville, WI 54929 | 2006-08-19 |
| 1962422303 | Clintonville Area Ambulance Service | Ambulance | 16 N. Main, Clintonville, WI 54929 | 2006-07-20 |
| 1649225970 | Jill I. Timm | Physical Therapist | 114 E Greentree Road, Clintonville, WI 54929 | 2006-05-24 |
| 1104242999 | Cloverleaf Healthcare, Inc. | Skilled Nursing Facility | 1625 E Main St, Clintonville, WI 54929 | 2014-03-17 |
| 1124286406 | Ascension Medical Group-fox Valley Wisconsin, Inc | Clinic/Center | 61 Anne St, Clintonville, WI 54929 | 2008-05-23 |
| 1174734289 | Samuel John Buckett | Chiropractor | E9180 Golf Club Road, Clintonville, WI 54929 | 2007-05-24 |
| 1164509154 | Erickson Home Medical Equipment LLC | Durable Medical Equipment & Medical Supplies | 8 S Main St, Clintonville, WI 54929 | 2006-11-01 |
| 1952503245 | Erin Ann Schley | Specialist | 70 W Green Tree Rd, Clintonville, WI 54929-1009 | 2007-05-31 |
| Find all providers in zip 54929 | ||||
| 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 |
|---|---|---|---|---|
| 1972505071 | John W. Connelly | Dentist | 270 N Main St, Clintonville, WI 54929-1104 | 2005-06-02 |
| 1699899336 | John B. Dewolf, IIi, D.m.d., S.c. | Dentist | 112 S Main St, Clintonville, WI 54929-1631 | 2007-03-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306445242 | Heather Jordan | Dentist | 2303 Schneider Ave Se Ste 200, Menomonie, WI 54751-7008 | 2020-10-21 |
| 1548875305 | Andre Oliveira-shahinfar | Dentist | 6038 Gemini Dr, Madison, WI 53718-3008 | 2020-09-09 |
| 1770194870 | Gi Ppeum Lee | Dentist | 3111 E Calumet St, Appleton, WI 54915-4754 | 2020-08-12 |
| 1891304275 | Bryce Opps | Dentist | 390 S Grand Ave Ste 110, Sun Prairie, WI 53590-9294 | 2020-07-30 |
| 1962010579 | Catherine Eileen Zimmermann | Dentist | 190 Gardner Ave Ste 7, Burlington, WI 53105-2160 | 2020-07-20 |
| 1073131348 | Kelsey Chin | Dentist | 888 Thackeray Trl Ste 215, Oconomowoc, WI 53066-4342 | 2020-07-13 |
| 1457978520 | Brennan Michael Leavitt | Dentist | 2201 Division St # B, Stevens Point, WI 54481-3662 | 2020-07-06 |
| 1467079327 | William Tyler Crusey | Dentist | 7979 N Sherman Blvd # 200, Brown Deer, WI 53209-1776 | 2020-06-26 |
| 1184240236 | Casey Nan Messer | Dentist | 2805 Libal St Ste B, Green Bay, WI 54301-2888 | 2020-06-24 |
| 1881210185 | Negah Karimpourtalebi | Dentist | 6430 Green Bay Rd Ste 112, Kenosha, WI 53142-2948 | 2020-06-23 |
| Find all providers with the same taxonomy | ||||
| City | CLINTONVILLE |
| Zip Code | 54929 |
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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.