| Chadwick Aaron Johnson, DDS | |
|
3710 Merle Hay Road, Des Moines, IA 50310 | |
| (515) 255-5122 | |
| (515) 270-1646 |
| Full Name | Chadwick Aaron Johnson |
|---|---|
| Gender | Male |
| Speciality | Dentist |
| Location | 3710 Merle Hay Road, Des Moines, Iowa |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508978602 | NPI | - | NPPES |
| 1771525 | Other | UNITED CONCORDIA | |
| 5082590017 | Other | MET LIFE | |
| 0462705 | Medicaid | IA | |
| 137522 | Other | GUARDIAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 08353 (Iowa) | Secondary |
| 122300000X | Dentist | 08353 (Iowa) | Primary |
| Entity Name | Oral Health Clinic Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053579201 PECOS PAC ID: 4183925944 Enrollment ID: O20151221000905 |
| Mailing Address | Practice Location Address |
|---|---|
| Chadwick Aaron Johnson, DDS Po Box 316, Williamsville, NY 14231 Ph: (716) 204-4999 | Chadwick Aaron Johnson, DDS 3710 Merle Hay Road, Des Moines, IA 50310 Ph: (515) 255-5122 |
Kassie Rae Sopher, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1345 E University Ave, Des Moines, IA 50316 Phone: 515-264-9022 | |
Dr. Kevin Paul Baker, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 4232 University Ave, Des Moines, IA 50311 Phone: 515-277-4461 | |
Dr. Joseph J Fratianni, Dentist Medicare: Not Enrolled in Medicare Practice Location: 4919 Douglas Ave, Des Moines, IA 50310 Phone: 515-278-2010 | |
Molly Bremen, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 7600 Fleur Dr, Des Moines, IA 50321 Phone: 515-650-4441 Fax: 515-630-1916 | |
Germaine Bello, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1801 Hickman Rd, Des Moines, IA 50314 Phone: 515-282-2200 Fax: 515-282-3234 | |
Dr. Robert C. Margeas, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 1233 63rd St., Des Moines, IA 50311 Phone: 515-277-6358 Fax: 515-277-4836 | |
Kelsey Elizabeth Edwards, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 2822 E 29th St, Des Moines, IA 50317 Phone: 515-266-3437 |