DENTAL CORPORATION OF KEITH JOHNSON, DDS (NPI# 1073698429) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073698429 |
| Entity Type | Organization |
| Organization Name | DENTAL CORPORATION OF KEITH JOHNSON, DDS |
| Other Organization Name | MAIN STREET DENTAL GROUP |
| Practice Address |
4360-c E Main St Ventura CA 93003 |
| Mailing Address |
2860 Michelle 2nd Floor Irvine CA 92606-1009 |
| Practice Telephone | 8056446110 |
| Practice Fax Number | 8056446160 |
| Mailing Telephone | 7145083600 |
| Mailing Fax Number | 7143682092 |
| Enumeration Date | 2006-10-26 |
| Last Update Date | 2009-06-03 |
| Authorized Official Name | DR. KEITH A JOHNSON (OWNER DDS) |
| Authorized Official Telephone | 8056446110 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
| Other Name | Type Code |
|---|---|
| MAIN STREET DENTAL GROUP | Doing Business As Name - Organization |
| Street Address |
4360-C E MAIN ST |
| City | VENTURA |
| State | CA |
| Zip Code | 93003 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659874436 | Anthony Pham | Dentist | 4360-c E Main St, Ventura, CA 93003-2331 | 2018-03-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124645924 | Community Memorial Health System | Pharmacy | 2790 Loma Vista Road, Ventura, CA 93003 | 2020-06-29 |
| 1730702952 | Sarah Manon Begert | Student in an Organized Health Care Education/Training Program | 300 Hillmont Ave., Bldg 340, Ste 201, Ventura, CA 93003 | 2020-05-21 |
| 1033763677 | Ashley Danielle Aguilar | Counselor | 5740 Ralston Suite 100, Ventura, CA 93003 | 2019-08-01 |
| 1730747239 | Azadeh Ellsworth | Nurse Practitioner | 1752 S Victoria Ave Ste 250, Ventura, CA 93003 | 2019-05-31 |
| 1992275556 | Melissa Marie Cole | Social Worker | 4949 Market St, Ventura, CA 93003 | 2018-11-27 |
| 1851868400 | Weldon Acupuncture Professional Corporation | Acupuncturist | 3737 Telegraph Road, Suite F, Ventura, CA 93003 | 2018-10-31 |
| 1952876468 | Isabella Florencia Gallegos | Specialist/Technologist | 1857 Knoll Dr., Ventura, CA 93003 | 2018-10-11 |
| 1437645421 | Jill Huang Wong | Psychologist | 3585 Maple St Ste 248, Ventura, CA 93003 | 2018-07-02 |
| 1346735156 | Lisa Ngoc Thi Nguyen | Student in an Organized Health Care Education/Training Program | 147 N. Brent Street, Ventura, CA 93003 | 2018-06-25 |
| 1457845331 | Khloe Frank | Student in an Organized Health Care Education/Training Program | 300 Hillmont Ave, Bldg 340, Suite 201, Ventura, CA 93003 | 2018-06-14 |
| Find all providers in zip 93003 | ||||
| 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 |
|---|---|---|---|---|
| 1932693199 | Tariq Jabaiti | Dentist | 1708 S Victoria Ave Ste B, Ventura, CA 93003-6595 | 2018-06-20 |
| 1982088811 | James Schaeffer Professional Dental Corporation | Dentist | 1001 Partridge Dr Ste 210, Ventura, CA 93003-0716 | 2015-07-09 |
| 1225416423 | Kimberly Malotky | Dentist | 103 S Mills Rd, 101, Ventura, CA 93003-3455 | 2015-05-08 |
| 1891196705 | Rose Tran-nguyen, D.m.d. | Dentist | 3362 Loma Vista Rd, Ventura, CA 93003-3024 | 2014-09-10 |
| 1457761983 | Steven G. Johnson Dental Corporation | Dentist | 103 S Mills Rd Ste 101, Ventura, CA 93003-3456 | 2014-05-06 |
| 1508153198 | Bridget Elaine Tinsley | Dentist | 178 S. Ventura Ave., Ventura, CA 93003-4369 | 2011-07-01 |
| 1184873697 | Stephen A Scott | Dentist | 10674 Inyo St, Ventura, CA 93004-1038 | 2008-09-09 |
| 1902064363 | Janice Green Mazurek | Dentist | 2899 Loma Vista Rd, Ventura, CA 93003-1545 | 2008-06-01 |
| 1275709115 | Joanne Tran | Dentist | 178 S Victoria Ave Ste B, Ventura, CA 93003-4368 | 2008-04-30 |
| 1639340920 | Victor Sargissian | Dentist | 3922 Telegraph Road, Ventura, CA 93003-1810 | 2008-03-14 |
| Find all providers in VENTURA | ||||
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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.