JERRY ALAN JOHNSON (NPI# 1871584565) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1871584565 |
Entity Type | Individual |
Full Name | JERRY ALAN JOHNSON |
Credential | D.D.S. |
Practice Address |
2295 E Washington Blvd Pasadena CA 91104-1944 |
Practice Telephone | 6267987896 |
Mailing Telephone | 6267987896 |
Enumeration Date | 2005-11-02 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | X |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223G0001X |
Dentist Specialization: General Practice |
33106 | CA | Dental Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1629454897 | Jerry Johnson | Pharmacist | 4004 Lake Adger Pkwy, Mill Spring, NC 28756-4800 | 2015-08-10 |
1487721858 | Jerry L Johnson | Obstetrics & Gynecology | 503 S John Redditt Dr, Lufkin, TX 75904-3120 | 2006-11-29 |
1730260829 | Jerry Lee Johnson | Chiropractor | 11914 N Pennsylvania Ave Ste B3, Oklahoma City, OK 73120-7831 | 2006-10-17 |
1780779140 | Jerry Allen Johnson | Physician Assistant | 1201 Sam Bass Road, Round Rock, TX 78681-4137 | 2006-10-03 |
1003907817 | Jerry Lee Johnson | Chiropractor | 4312 Mormon Coulee Rd, La Crosse, WI 54601-7908 | 2006-09-27 |
1346253499 | Jerry N Johnson | Chiropractor | 1502 E Belt Line Rd, Carrollton, TX 75006-6307 | 2006-08-13 |
1316975568 | Jerry Lee Johnson | Dentist | 1316 Mcmillan St, Worthington, MN 56187-1646 | 2006-06-28 |
1952305351 | Jerry H Johnson | Dentist | 1277 Highway 411, Vonore, TN 37885-2456 | 2005-06-13 |
1962057802 | Jerry Michael Johnson | Pharmacist | 311 S Avenue D, Burkburnett, TX 76354-3541 | 2019-08-07 |
1144704248 | Jerry Johnson | Case Manager/Care Coordinator | 6701 Highway 67, Benton, AR 72015-8909 | 2018-09-24 |
Street Address |
2295 E WASHINGTON BLVD |
City | PASADENA |
State | CA |
Zip Code | 91104-1944 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1093284382 | Jack Lee Johnson II | Counselor | 1680 North Fair Oaks, Pasadena, CA 91104 | 2018-11-16 |
1699257055 | Aqueelah Russell | Lactation Consultant, Non-RN | 855 N. Catalina Ave, Pasadena, CA 91104 | 2018-09-02 |
1053893529 | Jordann Ashley Stewart | Case Manager/Care Coordinator | 691 East Washington Blvd, Pasadena, CA 91104 | 2018-08-31 |
1942789706 | Elmer Caballero | Case Manager/Care Coordinator | 691 E Washington Blvd, Pasadena, CA 91104 | 2018-08-12 |
1649759648 | Orlando Javier Sava Jr. | Case Manager/Care Coordinator | 1395 E. Orange Grove Blvd, Pasadena, CA 91104 | 2018-08-09 |
1669923611 | Grandview Foundation, Inc. | Substance Abuse Rehabilitation Facility | 225 Grandview Street, Pasadena, CA 91104 | 2016-10-14 |
1255734166 | Linhua Wang-kim | Massage Therapist | 1028 N. Lake Ave., Suite 108c, Pasadena, CA 91104 | 2014-10-06 |
1477893782 | Med Tec Diagnostic Inc. | Clinic/Center | 1310 N. Mar Vista Unit 3, Pasadena, CA 91104 | 2013-02-22 |
1750631321 | Gordon Sheldall | Marriage & Family Therapist | 1495 N Lake Avenue, Pasadena, CA 91104 | 2012-09-11 |
1699024521 | Sherry Lynn Wait | Marriage & Family Therapist | 1495 N. Lake Ave., Pasadena, CA 91104 | 2012-09-06 |
Find all providers in zip 91104 |
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 |
---|---|---|---|---|
1578197208 | Dental Land Pllc | Dentist | 2525 Southmore Ave # Site200, Pasadena, TX 77502-1451 | 2020-03-03 |
1346801792 | Koutchekpour & Spero, A Professional Corporation | Dentist | 900 Valley View Ave Unit 2, Pasadena, CA 91107-1976 | 2019-06-26 |
1912563958 | Cisneros Dentistry Pllc | Dentist | 918 W Southmore Ave Ste 115, Pasadena, TX 77502-1020 | 2019-05-15 |
1649737008 | Top Dental Pasadena | Dentist | 950 E Colorado Blvd Ste 201, Pasadena, CA 91106-2300 | 2019-02-21 |
1225512551 | Winnie Liang | Dentist | 65 N Madison Ave Ste 506, Pasadena, CA 91101-2048 | 2018-09-22 |
1063920015 | Pasadena Dental Smile, Pllc | Dentist | 4002 Burke Rd # 100, Pasadena, TX 77504-3451 | 2018-01-11 |
1508372269 | Dong-gil Kang Dds Inc | Dentist | 668 N Los Robles Ave, Pasadena, CA 91101-1004 | 2017-12-18 |
1962912139 | H. Robert Stender, Dds, Inc. | Dentist | 200 S El Molino Ave Ste 6, Pasadena, CA 91101-2985 | 2017-10-02 |
1598293250 | Chandni P. Jogani, D.d.s. | Dentist | 175 S El Molino Ave Ste 6, Pasadena, CA 91101-2564 | 2017-05-25 |
1053843359 | Kyle Low | Dentist | 301 S Fair Oaks Ave Ste 205, Pasadena, CA 91105-2536 | 2017-03-28 |
Find all providers in PASADENA |
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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.