DR. DAVID ROBERT JOHNSON (NPI# 1821218074) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821218074 |
| Entity Type | Individual |
| Full Name | DR. DAVID ROBERT JOHNSON |
| Credential | D.D.S. |
| Practice Address |
1617 E Milham Ave Portage MI 49002-3049 |
| Practice Telephone | 2693817250 |
| Practice Fax Number | 2693817790 |
| Mailing Telephone | 2693817250 |
| Mailing Fax Number | 2693817790 |
| Enumeration Date | 2007-04-30 |
| Last Update Date | 2020-08-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
014095 | MI | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841804044 | David Johnson | Home Health Aide | 4436 Davis Grove Blvd, Olive Branch, MS 38654-5631 | 2020-09-04 |
| 1952803314 | David M Johnson | Specialist | 1345 Nw 15th St, Lincoln City, OR 97367-3327 | 2018-03-01 |
| 1932615333 | David Johnson | Hearing Instrument Specialist | 905 N Cass St, Wabash, IN 46992-1043 | 2017-12-20 |
| 1316457211 | David Johnson | Specialist/Technologist | 14354 Mission Way, Broomfield, CO 80023-4049 | 2017-10-05 |
| 1437519501 | David Hale Johnson | Nurse Practitioner | 169 Doctors Drive, Boone, NC 28607 | 2016-03-02 |
| 1366812141 | David Clayton Johnson | Occupational Therapist | 201 Ridgecrest Dr, Chapel Hill, NC 27514-2104 | 2015-10-06 |
| 1447635529 | David Johnson | Student in an Organized Health Care Education/Training Program | 9666 Kent St, Elk Grove, CA 95624 | 2015-07-30 |
| 1245623628 | David Johnson | Pharmacist | 10223 50th Ave E, Tacoma, WA 98446-5412 | 2015-03-10 |
| 1710377585 | David Jackson Johnson | Counselor | 862 S Main St Ste 2, Brigham City, UT 84302-3300 | 2015-01-30 |
| 1376892828 | David Berek Johnson | Chiropractor | 7559 Kayne Blvd, Columbus, GA 31909-2521 | 2012-08-30 |
| Street Address |
1617 E MILHAM AVE |
| City | PORTAGE |
| State | MI |
| Zip Code | 49002-3049 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164642906 | West Wind Family &cosmetic Denistry | Dentist | 1617 E Milham Ave, Portage, MI 49002-3049 | 2007-04-26 |
| 1073124103 | Johnson Family Dentistry | Dentist | 1617 E Milham Ave, Portage, MI 49002-3049 | 2020-08-12 |
| 1639605215 | Lauren Schultz | Behavior Technician | 1617 E Milham Ave, Suite B, Portage, MI 49002-3049 | 2017-05-03 |
| 1164957148 | Patrick Ducey | Behavior Technician | 1617 E Milham Ave, Suite B, Portage, MI 49002-3049 | 2017-04-27 |
| 1801321997 | Lindie Mckenzie | Behavior Technician | 1617 E Milham Ave, Suite B, Portage, MI 49002-3049 | 2017-04-26 |
| 1447784491 | Robert Sarker | Behavior Technician | 1617 E Milham Ave, Suite B, Portage, MI 49002-3049 | 2017-04-17 |
| 1225562507 | Erin O'brien | Behavior Technician | 1617 E Milham Ave, Portage, MI 49002-3049 | 2017-04-13 |
| 1326572686 | Jacob Savage | Behavior Technician | 1617 E Milham Ave, Portage, MI 49002-3049 | 2017-04-13 |
| 1073047320 | Naomi Breiler | Behavior Technician | 1617 E Milham Ave, Suite B, Portage, MI 49002-3049 | 2017-04-13 |
| 1265966519 | Patrick Wieszciecinski | Behavioral Analyst | 1617 E Milham Ave, Suite B, Portage, MI 49002-3049 | 2017-04-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932604204 | Susan Vandewalker | Physical Therapist | 8001 Angling Rd., Portage, MI 49002 | 2018-03-28 |
| 1134634934 | Portage Chiropractic and Wellness Center | Chiropractor | 609 E. Centre, Portage, MI 49002 | 2017-12-04 |
| 1548620537 | Patricia Eid | Behavioral Analyst | 1016 E Milham Ave, Suite 2, Portage, MI 49002 | 2016-03-03 |
| 1386045383 | Pinnacle Senior Care of Kalamazoo, LLC | Home Health | 2725 Airview Blvd Ste 105b, Portage, MI 49002 | 2014-09-09 |
| 1104241611 | Meredith Ayers Holland | Behavioral Analyst | 9616 Portage Road, Portage, MI 49002 | 2014-02-20 |
| 1619211919 | Daketia L Thomas | Massage Therapist | 8314 Portage Rd, Suite D, Kalamazoo, MI 49002 | 2012-11-27 |
| 1831457142 | Kinetic Kids, LLC | Occupational Therapist | 540 East Milham, Portage, MI 49002 | 2012-04-25 |
| 1154689404 | Lauren Michelle Mattaliano | Occupational Therapist | 540 E. Milham Road, Portage, MI 49002 | 2012-04-24 |
| 1114219227 | South Michigan Psychiatric Services LLC | Psychiatry & Neurology | 5390 Lovers Ln, Third Floor, Portage, MI 49002 | 2011-05-07 |
| 1174836316 | Premier Neuropsychiatry Plc | Psychiatry & Neurology | 5930 Lovers Lane, Portage, MI 49002 | 2010-07-16 |
| Find all providers in zip 49002 | ||||
| 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 |
|---|---|---|---|---|
| 1225696248 | Christopher J Fronczak | Dentist | 8080 Moorsbridge Rd Ste 101, Portage, MI 49024-4422 | 2019-06-04 |
| 1306308515 | Healthy Smiles Portage, LLC | Dentist | 6280 W Main St, Portage, IN 46368-4670 | 2019-04-05 |
| 1093281149 | Secure Dental Vii | Dentist | 6129 Us Highway 6, Portage, IN 46368-5058 | 2018-10-16 |
| 1952821837 | Adalene Marie Chabon | Dentist | 8150 Moorsbridge Rd Ste A, Portage, MI 49024-7419 | 2017-06-22 |
| 1366848509 | Seubert Family Dentistry, LLC | Dentist | 260 W. Cook St., Portage, WI 53901-2106 | 2014-11-17 |
| 1265690044 | Joseph Michael Labella | Dentist | 1508 New Pinery Rd, Portage, WI 53901-1312 | 2008-05-28 |
| 1295930196 | Bewick Dental Corp | Dentist | 3410 Willowcreek Rd, Portage, IN 46368-5089 | 2007-06-19 |
| 1548462526 | Nicas Yiannias | Dentist | 5943 Central Ave, Portage, IN 46368-2946 | 2007-06-01 |
| 1164642906 | West Wind Family &cosmetic Denistry | Dentist | 1617 E Milham Ave, Portage, MI 49002-3049 | 2007-04-26 |
| 1699802280 | Frank Michael Walerko | Dentist | 6060 Lute Rd, Portage, IN 46368-5008 | 2007-02-28 |
| Find all providers in PORTAGE | ||||
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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.