COLLIS JOHNSON JR. (NPI# 1831291855) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831291855 |
| Entity Type | Individual |
| Full Name | COLLIS JOHNSON JR. |
| Credential | DDS |
| Practice Address |
1756 Vine Street Denver CO 80206 |
| Practice Telephone | 3033221177 |
| Practice Fax Number | 3033221199 |
| Mailing Telephone | 3033221177 |
| Mailing Fax Number | 3033221199 |
| Enumeration Date | 2006-09-01 |
| Last Update Date | 2016-12-05 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223E0200X |
Dentist Specialization: Endodontics |
CO01476 | CO | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 02014769 | 05 |
| Street Address |
1756 VINE STREET |
| City | DENVER |
| State | CO |
| Zip Code | 80206 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558607242 | Family Dentistry | Dentist | 1756 Vine Street, Denver, CO 80206 | 2012-12-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609495373 | Mindy Lieberman | Behavior Technician | 1151 Monroe St. #2, Denver, CO 80206 | 2020-04-13 |
| 1356992879 | Danielle Higgins | Counselor | 3003 E 3rd Ave # B-106, Denver, CO 80206 | 2019-09-25 |
| 1396224788 | Neuro Interpretive Services LLC | Clinic/Center | 700 Colorado Blvd Ste 668, Denver, CO 80206 | 2018-08-07 |
| 1578072252 | Ashleigh Rankin | Social Worker | 1890 Gaylord Street, Denver, CO 80206 | 2017-09-25 |
| 1407379092 | Todd C. Ognibene | Psychologist | 1544 York Street, Third Floor, Denver, CO 80206 | 2017-07-25 |
| 1104363811 | Zhanna Bayerman | In Home Supportive Care | 3222 E. 1st Ave, # 725, Denver, CO 80206 | 2017-01-20 |
| 1467995340 | Julie Huff | Massage Therapist | 155 Cook, 351, Denver, CO 80206 | 2016-11-28 |
| 1457807778 | Amrita Singh Comer | Nursing Care | 2111 Champa Street, Denver, CO 80206 | 2016-08-28 |
| 1245683952 | Emily Rose Popiel | Psychologist | 3107 East Colfax Avenue, Denver, CO 80206 | 2016-07-18 |
| 1689036998 | Emma Jean Maki-gianani | Counselor | 2925 E. Colfax, Denver, CO 80206 | 2016-03-25 |
| Find all providers in zip 80206 | ||||
| Taxonomy Code | 1223E0200X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Endodontics |
| The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134786403 | Safer,carr and Sachs, Dds,pc | Dentist | 155 Cook St Ste 301, Denver, CO 80206-5317 | 2019-05-22 |
| 1013573815 | Ccdi Denver Pdc Pllc | Dentist | 1573 S Broadway, Denver, CO 80210-2607 | 2019-05-16 |
| 1245760131 | Ellen Macdonald | Dentist | 8354 E Northfield Blvd Unit 2750, Denver, CO 80238 | 2017-06-14 |
| 1598158412 | Robert Salehrabi Dds PC | Dentist | 10200 E Girard Ave Ste A205, Denver, CO 80231-5503 | 2015-03-17 |
| 1427316686 | Eric M Jahde | Dentist | 1660 S. Albion St #705, Denver, CO 80222 | 2012-04-25 |
| 1184935751 | Jeremy Kott Dds PC | Dentist | 1401 Wynkoop St, Suite 170, Denver, CO 80202-1729 | 2010-06-29 |
| 1972830388 | Jason Kirk Read | Dentist | 3660 S Beeler St # 3, Denver, CO 80237-1833 | 2009-11-05 |
| 1023238359 | David William Hanske | Dentist | 300 So Jackson St, Suite 135, Denver, CO 80209-3131 | 2007-04-27 |
| 1629137856 | Frank Karl Fager | Dentist | 3545 S Tamarac Dr Ste 220, Denver, CO 80237-1428 | 2006-12-06 |
| 1871586842 | Rahim Karmali | Dentist | 8111 E Lowry Blvd # 290, Denver, CO 80230-7193 | 2005-08-25 |
| Find all providers in DENVER | ||||
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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.