CHARLES KEITH JOHNSON (NPI# 1013950492) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013950492 |
| Entity Type | Individual |
| Full Name | CHARLES KEITH JOHNSON |
| Credential | DDS |
| Practice Address |
1405 Westover Hills Blvd #1 Richmond VA 23225 |
| Practice Telephone | 8042321533 |
| Practice Fax Number | 8042321560 |
| Mailing Telephone | 8042321533 |
| Mailing Fax Number | 8042321560 |
| Enumeration Date | 2006-06-14 |
| Last Update Date | 2012-07-24 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 5082 | VA | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | ANTHEM | 103763 | 01 |
| VA | 541035205 | 05 | |
| VA | UNITED CONCORDIA | 805392 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689293995 | Charles Johnson | Student in an Organized Health Care Education/Training Program | 1322 N Rutherford Blvd Apt I51, Murfreesboro, TN 37130-8430 | 2020-04-16 |
| 1518522796 | Charles Lee Johnson Sr. | Technician | 2010 Parkhill Dr, Dayton, OH 45406-2716 | 2019-05-03 |
| 1528591724 | Charles Johnson | Counselor | 512 Sapphire St, Opelousas, LA 70570-3536 | 2017-04-05 |
| 1265976047 | Charles Johnson | Counselor | 1320 Harvard Ave, Shreveport, LA 71103-2521 | 2016-12-13 |
| 1831560390 | Charles James Johnson | Pharmacist | 300 W. 4th Street, Dequincy, LA 70633-3404 | 2015-10-09 |
| 1437538410 | Charles David Johnson | Nurse Practitioner | 417 Fruitland Park Rd, Wiggins, MS 39577-8312 | 2015-05-24 |
| 1598006827 | Charles Dustin Johnson | Counselor | 2625 Redwing Rd Ste 110, Fort Collins, CO 80526-2878 | 2013-03-12 |
| 1932444924 | Charles William Johnson | Family Medicine | 106 Ne Wood Glen Ln, Lees Summit, MO 64064-1508 | 2012-12-03 |
| 1063744571 | Charles Miller Johnson Jr. | Licensed Practical Nurse | 1020 Robinson Ave Apt 2, San Diego, CA 92103-4473 | 2010-02-08 |
| 1235333147 | Charles Johnson | Physical Therapy Assistant | 2104 Four Winds Dr, Cedar Falls, IA 50613-6435 | 2007-06-13 |
| Street Address |
1405 WESTOVER HILLS BLVD #1 |
| City | RICHMOND |
| State | VA |
| Zip Code | 23225 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780133280 | Elite Psychotherapy and Behavioral Health Services, LLC | Social Worker | 1405 Westover Hills Blvd, Suite #2, Richmond, VA 23225-3153 | 2016-09-25 |
| 1902257082 | Victory Smiles of Virginia | Clinic/Center | 1405 Westover Hills Blvd, Suite 6, Richmond, VA 23225-3153 | 2016-06-29 |
| 1053541532 | Speechsmarts, PC | Speech-Language Pathologist | 1405 Westover Hills Blvd, 1a, Richmond, VA 23225-3153 | 2009-07-20 |
| 1942440490 | Susan Maimonides Solomon | Obstetrics & Gynecology | 1405 Westover Hills Blvd, Suite 6, Richmond, VA 23225-3153 | 2009-02-24 |
| 1225155872 | Karen Love Pinkerton | Speech-Language Pathologist | 1405 Westover Hills Blvd, Suite 1a, Richmond, VA 23225-3153 | 2007-03-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114524543 | Alliance Mental Health LLC | Nurse Practitioner | 7400 Beaufont Springs Drive Pmb#2867, Suite 300, Richmond, VA 23225 | 2020-10-08 |
| 1134734957 | Ai H Garner | Nurse Practitioner | 7400 Beaufont Springs Drive Pmb# 2867, Suite 300, Richmond, VA 23225 | 2020-09-09 |
| 1659996023 | Amira Transport Inc. | Non-emergency Medical Transport (VAN) | 7400 Beaufont Springs Drive, Suite 300, North Chesterfield, VA 23225 | 2020-06-11 |
| 1548881352 | Kevin Raymond Tarlow | Psychologist | 2000 Riverside Drive, Apt. 6c, Richmond, VA 23225 | 2020-05-04 |
| 1619522000 | Spring Transport Inc | Non-emergency Medical Transport (VAN) | 2418 W Tremont Ct, Richmond, VA 23225 | 2019-08-02 |
| 1063976660 | Kelly Erin Mitchell | Nurse Practitioner | 7401 Beaufort Springs Dr, Suite 205, Richmond, VA 23225 | 2019-01-28 |
| 1760977540 | Marchett Hopkins | Counselor | 1601 Skilift Ln, Richmond, VA 23225 | 2018-06-25 |
| 1821582644 | Infinite Solutions Behavioral Services, LLC | Case Management | 6946 Forest Hill Ave Suite B, Richmond, VA 23225 | 2018-06-15 |
| 1922595230 | Andrea Ruth Steegmayer | Registered Nurse | Vcu Health System, 1250 E. Marshall Street, Richmond, VA 23225 | 2018-04-23 |
| 1306340153 | Eric Sheldon Jacobson | Internal Medicine | 2956 Hathaway Rd, Apt. 1101, Richmond, VA 23225 | 2018-03-19 |
| Find all providers in zip 23225 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528675717 | South Texas Sleep Medicine LLC | Dentist | 8710 Grand Mission Blvd Ste A, Richmond, TX 77407-5413 | 2020-09-30 |
| 1780159764 | Krysten Marie Herrero | Dentist | 1821 Mactavish Ave Apt 2319, Richmond, VA 23230-4336 | 2018-10-05 |
| 1083189179 | Saurabh Mankotia | Dentist | 5614 W Grand Pkwy S Ste 120, Richmond, TX 77406-5820 | 2018-10-04 |
| 1952887762 | Joseph Eugene Bartholomew IIi | Dentist | 521 N. 11th Street, Vcu School of Dentistry Aegd Clinic, Richmond, VA 23298 | 2018-07-15 |
| 1437635331 | Shannon Andrews Kittrell | Dentist | 8804 Patterson Ave Ste 100, Richmond, VA 23229-6361 | 2018-07-13 |
| 1801382163 | Benjamin Joseph Hughes | Dentist | 6400 Forest Avenue, Ste 110, Richmond, VA 23230 | 2018-07-10 |
| 1265927065 | Hina Asghar | Dentist | 7 N 8th St Apt 1102, Richmond, VA 23219-3329 | 2018-06-25 |
| 1467946269 | Ideal Dental of Aliana Pllc | Dentist | 4818 Waterview Town Center, Suite 100, Richmond, TX 77406-1438 | 2018-06-15 |
| 1063909414 | Sunjae Jung | Dentist | 265 16th St, Richmond, Richmond, CA 94801 | 2018-04-20 |
| 1750805560 | Michael Harold Wong | Dentist | 2970 Hilltop Mall Rd Ste 212, Richmond, CA 94806-1949 | 2017-08-02 |
| Find all providers in RICHMOND | ||||
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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.