DR. MARK A JOHNSON (NPI# 1811081540) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811081540 |
| Entity Type | Individual |
| Full Name | DR. MARK A JOHNSON |
| Credential | DDS |
| Practice Address |
300 Se 120th Ave Suite 200 Vancouver WA 98683-4090 |
| Practice Telephone | 3602541590 |
| Practice Fax Number | 3602541939 |
| Mailing Telephone | 3602541590 |
| Mailing Fax Number | 3602541939 |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
6095 | WA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427528546 | Mark Johnson | Urology | 278 Franklin Rd Ste 150, Brentwood, TN 37027-3265 | 2018-12-01 |
| 1437692787 | Mark Johnson | Pharmacist | 500 N Claude Lord Boulevard, Pottsville, PA 17901-3868 | 2016-11-18 |
| 1902277734 | Mark Johnson Sr. | Counselor | 5310 Eagle Creek Blvd, Shakopee, MN 55379-8617 | 2015-10-20 |
| 1295175966 | Mark Johnson | Pharmacist | 418 Opal Ln, Hibbing, MN 55746-3844 | 2013-06-26 |
| 1275971988 | Mark A Johnson | Dentist | 1714 W Hunt Hwy Ste 100, Queen Creek, AZ 85143-5245 | 2013-06-05 |
| 1598009938 | Mark R Johnson | Pharmacist | 273 12th St Ne, Unit 313, Atlanta, GA 30309-3853 | 2012-11-26 |
| 1164778619 | Mark Anthony Johnson | Pharmacist | 3449 Rezanof Drive, Kodiak, AK 99615 | 2012-08-01 |
| 1881953578 | Mark Joseph Johnson | Anesthesiology | 2810 N Swan Rd Ste 1002810n, Tucson, AZ 85712-6305 | 2012-05-15 |
| 1811261662 | Mark Johnson | Physical Therapist | 3303 Sw Bond Ave Fl 1, Portland, OR 97239-4501 | 2012-02-25 |
| 1639470636 | Mark Johnson | Counselor | 4314 W Lovers Ln, Dallas, TX 75209-2804 | 2010-11-06 |
| Street Address |
300 SE 120TH AVE SUITE 200 |
| City | VANCOUVER |
| State | WA |
| Zip Code | 98683-4090 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679593149 | Martin J Matovich | Dentist | 300 Se 120th Ave, Suite 400, Vancouver, WA 98683-4090 | 2006-07-20 |
| 1912228073 | Lubisich & Lubisich, Pllc | Dentist | 300 Se 120th Ave, Suite 100, Vancouver, WA 98683-4090 | 2010-06-11 |
| 1760703821 | Peter Lubisich Iv | Dentist | 300 Se 120th Ave, Suite 100, Vancouver, WA 98683-4090 | 2010-06-11 |
| 1326260035 | Josef W Lubisich | Dentist | 300 Se 120th Ave, Ste. 100, Vancouver, WA 98683-4090 | 2007-05-03 |
| 1538385315 | Jared Thomas Bowyer | Dentist | 300 Se 120th Ave, Ste 700, Vancouver, WA 98683-4090 | 2007-04-18 |
| 1518088715 | David Leroy Nutter | Dentist | 300 Se 120th Ave, Suite 800, Vancouver, WA 98683-4090 | 2007-04-03 |
| 1568568772 | Vancouver Oral Surgery Group | Dentist | 300 Se 120th Ave, Suite 600, Vancouver, WA 98683-4090 | 2006-09-15 |
| 1790881910 | Gregory W Boice | Dentist | 300 Se 120th Ave, #600, Vancouver, WA 98683-4090 | 2006-09-15 |
| 1639275878 | Martin A Seidenschmid | Dentist | 300 Se 120th Ave, Suite 600, Vancouver, WA 98683-4090 | 2006-09-15 |
| 1225134497 | Daniel R Dorsey | Dentist | 300 Se 120th Ave, Suite 600, Vancouver, WA 98683-4090 | 2006-09-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235761222 | Nathaniel James Eugene Powell | Behavior Technician | 4101se 192nd Ave, Ste 101, Vancouver, WA 98683 | 2020-02-07 |
| 1295294973 | Ubmhc1, LLC | Clinical Medical Laboratory | 18110 Southeast 34th St, Building 2, Suite 240, Vancouver, WA 98683 | 2019-03-13 |
| 1982116695 | Amy K Adams | Massage Therapist | 2716 Se 169th Ave, X-232, Vancouver, WA 98683 | 2017-11-03 |
| 1477088920 | Alexandra Ransonet | Dental Hygienist | 19111 Se 34th. St., Vancouver, WA 98683 | 2017-04-21 |
| 1639618630 | Digestive Gi Care | Internal Medicine | 305 Sw Chkalov Dr, 111-140, Vancouver, WA 98683 | 2017-02-23 |
| 1447706742 | Jennifer Horst | Massage Therapist | 3401 Se 192nd. Ave. Suite 107, Vancouver, WA 98683 | 2016-08-28 |
| 1154702728 | Kacie Marie Hamreus | Physician Assistant | 3101 Se 192nd Avenue, Vancouver, WA 98683 | 2015-06-09 |
| 1851782338 | Kathryn Wiedeman | Physical Therapy Assistant | 801 Se Park Crestt Ave, Vancouver, WA 98683 | 2015-02-05 |
| 1407255326 | Jesse Ryan Moses | Dentist | 16600 Se 15th Street, Suite A, Vancouver, WA 98683 | 2014-08-15 |
| 1366869893 | Stephen J Wold II | Podiatrist | 16701 Ne Mcgillivray Blvd, Ste 220, Vancouver, WA 98683 | 2014-03-21 |
| Find all providers in zip 98683 | ||||
| Taxonomy Code | 1223X0400X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Orthodontics and Dentofacial Orthopedics |
| That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407255326 | Jesse Ryan Moses | Dentist | 16600 Se 15th Street, Suite A, Vancouver, WA 98683 | 2014-08-15 |
| 1639308307 | Liem Duy Do Dds Pllc | Dentist | 5409 Ne St Johns Rd, Vancouver, WA 98661-2051 | 2009-07-02 |
| 1902032063 | Mark A. Johnson Dds Ps | Dentist | 601 Se 117th Ave Ste 200, Vancouver, WA 98683-5297 | 2009-06-03 |
| 1811121528 | Vancouver Orthodontic Specialists Pllc | Dentist | 406 Se 131st Ave Ste 306, Vancouver, WA 98683-4014 | 2009-05-08 |
| 1790995058 | Lauren Cai Dds Ms | Dentist | 15593 Se Mill Plain Blvd., Suite 120, Vancouver, WA 98684 | 2007-05-23 |
| 1730395583 | Leslie Allen Cotton | Dentist | 1418 Ne 78th St, Vancouver, WA 98665-9631 | 2007-05-15 |
| 1316161219 | Robert S Croft | Dentist | 14201 Ne 20th Ave Ste 3103, Vancouver, WA 98686-6414 | 2007-04-12 |
| 1316066137 | Kara Hobson | Dentist | 7725 Ne Highway 99, Vancouver, WA 98665-8834 | 2007-03-29 |
| 1548324973 | Gretchen M. Schnepper | Dentist | 2702 Ne 78th St Ste 106, Vancouver, WA 98665-0649 | 2006-12-20 |
| 1902979669 | J Ryan Moses Dmd Ps | Dentist | 16500 Se 15 St, Ste 150, Vancouver, WA 98683 | 2006-11-17 |
| Find all providers in VANCOUVER | ||||
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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.