DR. BENJAMIN WINGAITE JOHNSON (NPI# 1952538092) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952538092 |
| Entity Type | Individual |
| Full Name | DR. BENJAMIN WINGAITE JOHNSON |
| Credential | D.D.S. |
| Practice Address |
1441 N 12th St Fl 3 Phoenix AZ 85006-2837 |
| Practice Telephone | 6025215977 |
| Practice Fax Number | 6025215904 |
| Mailing Telephone | 6025215977 |
| Mailing Fax Number | 6025215904 |
| Enumeration Date | 2009-06-16 |
| Last Update Date | 2019-11-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
10176 | AZ | Dental Providers |
| Y | 204E00000X | Oral & Maxillofacial Surgery | 10176 | AZ | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 7600 Fern Ave Ste 1400, Shreveport, LA 711055690 | 3187975812 | 3187970390 |
| 909 Elm St, Minden, LA 710552747 | 3183713531 | 3183771424 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588125066 | Benjamin Levi Johnson | Physician Assistant | 2208 Longwood Rd, Lynchburg, VA 24503-4220 | 2019-03-27 |
| 1053878660 | Benjamin Johnson | Technician | 46 Forrester St Sw Apt 1, Washington, DC 20032-2111 | 2019-03-01 |
| 1235679382 | Benjamin V Johnson Sr. | Technician, Pathology | 210 Crossings Blvd, Suite 227, Elverson, PA 19520-9070 | 2017-03-07 |
| 1972051613 | Benjamin Johnson IIi | Physical Therapy Assistant | 202 Canaan Rd, Stratford, CT 06614-4611 | 2016-09-12 |
| 1194142281 | Benjamin R Johnson | Anesthesiology | 1653 W Congress Parkway 739 Jelke Dept Anesthesia, Chicago, IL 60612-0000 | 2014-03-26 |
| 1851731590 | Benjamin Erusha Johnson | Surgery | 2740 W Foster Ave Ste 213, Chicago, IL 60625-3532 | 2013-06-26 |
| 1114287349 | Benjamin Everett Johnson | Counselor | 1000 Clay St, Kenner, LA 70062-6734 | 2012-05-22 |
| 1750670014 | Benjamin Singer Johnson | Dentist | 4027 N Bartlett Ave, Shorewood, WI 53211-1909 | 2011-04-06 |
| 1710286786 | Benjamin Johnson | Chiropractor | 917 8th Ave S Ste C, Nashville, TN 37203-4768 | 2011-03-16 |
| 1144458019 | Benjamin Aaron Johnson | Dentist | 4000 Bellmead Dr, Waco, TX 76705 | 2009-06-30 |
| Street Address |
1441 N 12TH ST FL 3 |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85006-2837 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609858356 | Jack A. Buhrow | Dentist | 1441 N 12th St Fl 3, Phoenix, AZ 85006-2837 | 2005-11-17 |
| 1225567472 | Gordon Wong | Student in an Organized Health Care Education/Training Program | 1441 N 12th St Fl 3, Phoenix, AZ 85006-2837 | 2017-06-09 |
| 1629504998 | Thinh Xuan Nguyen | Student in an Organized Health Care Education/Training Program | 1441 N 12th St Fl 3, Phoenix, AZ 85006-2837 | 2017-05-05 |
| 1104166214 | Patric Joseph Sierzega | Physician Assistant | 1441 N 12th St Fl 3, Phoenix, AZ 85006-2837 | 2013-02-26 |
| 1770802613 | Savannah Gelesko Weedman | Dentist | 1441 N 12th St Fl 3, Phoenix, AZ 85006-2837 | 2010-05-18 |
| 1164557047 | William H Hall | Urology | 1441 N 12th St Fl 3, Phoenix, AZ 85006-2837 | 2007-02-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356949929 | Teresa Louise Cox | Pharmacist | 1800 E Van Buren St., St. Luke's Behavioral Health, Phoenix, AZ 85006 | 2020-10-15 |
| 1558985036 | Amanda Stanford | Nurse Practitioner | 925 E Mc Dowell Rd, Phoenix, AZ 85006 | 2020-06-01 |
| 1023638582 | Supraja Prakash | Genetic Counselor, MS | 1920 E Cambridge Ave., Rosenberg Bldg., Suite 304, Phoenix, AZ 85006 | 2020-04-24 |
| 1760017099 | Phoenix Medical Psychiatric Hospital, LLC | Psychiatric Hospital | 1346 Mcdowell Road, Phoenix, AZ 85006 | 2020-03-06 |
| 1265093108 | Zulianna Ibrahim | Student in an Organized Health Care Education/Training Program | Banner University Medical Center Phoenix Family Medicin, 1300 N. 12th Street Suite 605, Phoenix, AZ 85006 | 2019-06-21 |
| 1306318340 | Leah Margaret Hillier | Family Medicine | 1300 N 12th St - Suite 500, Phoenix, AZ 85006 | 2018-12-31 |
| 1477032357 | Joann Moskop | Chiropractor | 2719 N Greenfield Rd., Phoenix, AZ 85006 | 2018-08-10 |
| 1619464468 | Ana Maria Lara | Naturopath | 926 E Mcdowell Rd Ste 204, Phoenix, AZ 85006 | 2018-04-17 |
| 1194221770 | Nisha Bharat Patel | Student in an Organized Health Care Education/Training Program | Edwards Medical Plaza Suite 320, 1300 North 12th Street, Phoenix, AZ 85006 | 2018-04-03 |
| 1710486352 | Julia Cyr | Registered Nurse | 1008 E Mcdowell Rd Unit A, Phoenix, AZ 85006 | 2018-02-09 |
| Find all providers in zip 85006 | ||||
| Taxonomy Code | 204E00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Oral & Maxillofacial Surgery |
| Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery. |
| Notes: Source: American College of Surgeons, 2013. www.facs.org [7/1/2013: definition added, source added, additional resources added] Additional Resources: American Board of Oral and Maxillofacial Surgery and American Association of Oral and Maxillofacial Surgeons While this is generally considered a specialty of dentistry, physicians can also be board certified as oral and maxillofacial surgeons through the American Board of Oral and Maxillofacial Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235501370 | Trauma & Reconstructive Upper Extremity Specialists Pllc | Oral & Maxillofacial Surgery | 370 E Virginia Ave Ste 100, Phoenix, AZ 85004-1254 | 2015-10-28 |
| 1164678421 | Alessandro Gaetano Cusano | Oral & Maxillofacial Surgery | 1919 E Thomas Rd, Phoenix, AZ 85016-7710 | 2008-08-18 |
| 1316958945 | Eugene John Sidoti Jr. | Oral & Maxillofacial Surgery | 2601 E Roosevelt St, Phoenix, AZ 85008-4973 | 2006-08-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629546171 | San Tan Valley Oral Facial and Implant Surgery Pllc | Oral & Maxillofacial Surgery | 36327 N Gantzel Rd, Suite 102, San Tan Valley, AZ 85140 | 2018-11-02 |
| 1881189199 | Desert Valley Oral Surgery | Oral & Maxillofacial Surgery | 2915 E. Baseline Road, Suite 106, Gilbert, AZ 85234 | 2018-06-28 |
| 1982873311 | Arizona Oral Facial and Implant Surgery LLC | Oral & Maxillofacial Surgery | 2450 W Ray Rd Ste 1, Chandler, AZ 85224-3595 | 2008-02-29 |
| 1538358189 | Mark D. Pogue, M.d. D.d.s., P.C. | Oral & Maxillofacial Surgery | 8535 E Hartford Dr Ste 100, Scottsdale, AZ 85255-5443 | 2007-10-19 |
| 1114125267 | Associates In Oral and Maxillofacial Surgery Pllc | Oral & Maxillofacial Surgery | 3150 N Swan, Tucson, AZ 85712 | 2007-07-10 |
| 1861528465 | Sabah Kalamchi | Oral & Maxillofacial Surgery | 8112 N 87th Pl, Scottsdale, AZ 85258-4335 | 2007-02-26 |
| 1710025044 | Angelle M Casagrande | Oral & Maxillofacial Surgery | 3150 N Swan Road, Tucson, AZ 85712 | 2007-02-01 |
| 1619026564 | Woodlands Oral & Maxillofacial Surgery PC | Oral & Maxillofacial Surgery | 1635 S Plaza Way, Flagstaff, AZ 86001-7102 | 2007-01-09 |
| 1114940335 | Nish S Shah | Oral & Maxillofacial Surgery | 2450 W Ray Rd, Ste 1, Chandler, AZ 85224 | 2006-07-26 |
| 1255327169 | Mark Pogue | Oral & Maxillofacial Surgery | 8535 E Hartford Dr, Scottsdale, AZ 85255-5438 | 2005-09-26 |
| Find all providers with the same taxonomy | ||||
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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.