DR. MARY ANN JOHNSON D.M.D. NPI 1003286055

NPI Information

NPI: 1003286055
Provider Name: DR. MARY ANN JOHNSON, D.M.D.
Classification: Dentist - 1223G0001X
Entity Type: Individual

Specialization: General Practice

Address:
320 COMANCHE ST.
KIOWA, CO
ZIP 80117
Phone: (720) 389-9763
Get Directions

DR. Mary Ann Johnson, D.M.D. is a general practice dentist in Kiowa, CO. The provider is 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. DR. Mary Ann Johnson, D.M.D. NPI is 1003286055. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

320 COMANCHE ST.
KIOWA, CO
ZIP 80117
Phone: (720) 389-9763

The enumeration date for this NPI number is 10/2/2015 and was last updated on 4/4/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	122300000X	Dentist		DN011093	GEORGIA	No
2	122300000X	Dentist		DEN.00202717	COLORADO	No
3	1223G0001X	Dentist	General Practice	DEN.00202717	COLORADO	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	80200079	MEDICAID	COLORADO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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