DR. KEVIN DARNELL JOHNSON


Address: 71 Valley St, Suite103, South Orange, NJ 07079-2835
Phone: 9733782070

DR. KEVIN DARNELL JOHNSON (NPI# 1366583841) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1366583841
Entity Type Individual
Full Name DR. KEVIN DARNELL JOHNSON
Credential DDS
Practice Address 71 Valley St
Suite103
South Orange
NJ 07079-2835
Mailing Address 5 Fenfield Ct
Hamburg
NJ 07419-1268
Practice Telephone 9733782070
Mailing Telephone 9732094384
Enumeration Date 2007-02-09
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223E0200X Dentist
Specialization: Endodontics
DI20215 NJ Dental Providers

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1073949400 Kevin William Johnson Counselor 1147 16th St N, St Petersburg, FL 33705-1104 2013-09-17
1669752200 Kevin L Johnson Pharmacist 2600 S 48th St, Lincoln, NE 68506-2502 2011-08-26
1346536463 Kevin Charles Johnson Pharmacist 747 Highway 259 North, Kilgore, TX 75662-5175 2011-06-27
1770806374 Kevin Neil Johnson Physical Medicine & Rehabilitation 9913 214th St W Ste B, Lakeville, MN 55044-1914 2010-03-10
1326280991 Kevin Anthony Johnson Family Medicine 1400 Hancock Blvd, #1208, Daytona Beach, FL 32114 2009-03-29
1558566588 Kevin Charles Johnson Speech-Language Pathologist 8620 Holly Dr, Suite 230, Everett, WA 98208-1825 2007-06-19

Office Location

Street Address 71 VALLEY ST
SUITE103
City SOUTH ORANGE
State NJ
Zip Code 07079-2835

Providers in the same location

NPI Name Taxonomy Address Enumeration
1063634137 South Mountain Dental Specialty Group Dentist 71 Valley St, Suite103, South Orange, NJ 07079 2007-05-02
1477671774 Ralph Charles Gray Sr. Dentist 71 Valley St, Suite103, South Orange, NJ 07079-2835 2007-03-26

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1255946216 Melissa Marie Johnson Counselor 9 Vose Avenue, South Orange, NJ 07079 2020-09-15
1730663493 Private Quarters Hair Salon LLC Prosthetic/Orthotic Supplier 12 Academy Street, South Orange, NJ 07079 2018-09-19
1457731085 Jespy House Inc. Day Training, Developmentally Disabled Services 343 Academy Street, South Orange, NJ 07079 2015-06-09
1760876460 Dianne Marie Aguero-trotter Psychologist 400 South Orange Ave, South Orange, NJ 07079 2015-03-20
1679815922 Beth L Sosin Obstetrics & Gynecology South Orange Ob/gyn & Infertility Group, 106 Valley Street, Ramp Entrance, South Orange, NJ 07079 2013-03-25
1790061745 Obianuju Rita Mbamalu Dentist 71 Valley St Ste 100, South Orange, NJ 07079 2011-10-21
1669765061 Aba 4 U Behavioral Analyst 4 South Orange Avenue Box 189, South Orange, NJ 07079 2011-05-18
1598903882 Guiding Hands Pediatrics Pediatrics 179 Irvington Avenue, South Orange, NJ 07079 2009-01-26
1417161647 Rosalyn Myrna Shapiro Counselor 346 Harding Drive, So Orange, NJ 07079 2007-05-09
1821200403 Donald Raymond Reeves Jr. Psychiatry & Neurology 112 Raymond Avenue, South Orang, NJ 07079 2007-05-04
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Taxonomy Information

Taxonomy Code 1223E0200X
Grouping Dental Providers
Classification Dentist
Specialization Endodontics

Taxonomy Definition

The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions.
Notes: Source: Council on Dental Education and Licensure, American Dental Association

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1790061745 Obianuju Rita Mbamalu Dentist 71 Valley St Ste 100, South Orange, NJ 07079 2011-10-21
1104978931 Carol E Mann Dentist 202 S Orange Ave, South Orange, NJ 07079-2202 2007-01-18

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1225676018 Encore Dental of Toms River Dentist 1220 Hooper Avenue, Toms River, NJ 08753 2019-12-12
1184276990 Abc Family Smiles LLC Dentist 252 Madison Ave Ste 106, Perth Amboy, NJ 08861-4314 2019-07-11
1235638347 Essex Endodontics PC Dentist 460 Bloomfield Ave Ste 311, Montclair, NJ 07042-3552 2018-02-04
1770097446 Arthur Royzner Dentist 1 Lincoln Hwy Ste 6, Edison, NJ 08820 2017-11-16
1366964017 Sussex County Endodontics, PC Dentist 63 Newton Sparta Rd Ste 201, Newton, NJ 07860-2815 2017-07-14
1477916724 Shayna Nicole Whiteman Dentist 141 Us Highway 46 Lowr Level, Rockaway, NJ 07866-4018 2016-04-04
1184099251 Child Smiles Spec LLC Dentist 67-73 Fillmore Street, Newark, NJ 07105 2015-12-01
1366870198 Sudharani Bodepudi Dentist 354 Lunar Rd, Piscataway, NJ 08854-5469 2013-10-14
1558700195 Batastini Orthodontics, PC Dentist 69 Haddonfield - Berlin Road, Cherry Hill, NJ 08034 2013-06-17
1659612158 Atlantic Endodontics LLC Dentist 235 E. Jimmie Leeds Road, Galloway, NJ 08205 2013-03-07
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Competitor

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City SOUTH ORANGE
Zip Code 07079

Improve Information

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Dataset Information

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.

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