DR. KEITH EMMETT JOHNSON (NPI# 1427111921) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427111921 |
| Entity Type | Individual |
| Full Name | DR. KEITH EMMETT JOHNSON |
| Credential | DDS |
| Practice Address |
3300 Edinborough Way Suite 210 Edina MN 55435-5958 |
| Practice Telephone | 9528311112 |
| Practice Fax Number | 9528311839 |
| Mailing Telephone | 9528311112 |
| Mailing Fax Number | 9528311839 |
| Enumeration Date | 2006-12-18 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
8956 | MN | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| BCBS | 13439PA | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407226582 | Keith W. Johnson | Radiology | 450 Bayview Dr, Roseville, MN 55113-6907 | 2015-10-01 |
| 1780937821 | Keith Michael Johnson | Counselor | 16812 127th Ave, Apt # 7e, Jamaica, NY 11434-3152 | 2012-10-25 |
| 1467628792 | Keith Emery Johnson | General Practice | 1111 Quewhiffle Rd, Aberdeen, NC 28315-5377 | 2008-05-06 |
| 1336330810 | Keith David Johnson | Dentist | 26 S Village Dr, Liberty, MO 64068 | 2007-08-08 |
| 1952529133 | Keith E Johnson | Dentist | 13270 Big Basin Way, Boulder Creek, CA 95006 | 2007-04-23 |
| 1700929031 | Keith Vincent Johnson | Specialist/Technologist | 13 Fahnestock Rd, Malvern, PA 19355-2104 | 2007-02-15 |
| 1972669646 | Keith Johnson | Physical Therapist | 2301 Morningside Dr, Jonesboro, AR 72404-8050 | 2006-12-28 |
| 1467514588 | Keith W.v. Johnson | Orthopaedic Surgery | 6701 Lake Woodlands Dr, 101, The Woodlands, TX 77382-2566 | 2006-12-14 |
| 1568553147 | Keith Michael Johnson | Chiropractor | 13700 83rd Way N, #200, Maple Grove, MN 55369-7015 | 2006-09-27 |
| 1487616967 | Keith Patrick Johnson | Specialist | 85 Harristown Road, Suite 103, Glen Rock, NJ 07452 | 2006-04-03 |
| Street Address |
3300 EDINBOROUGH WAY SUITE 210 |
| City | EDINA |
| State | MN |
| Zip Code | 55435-5958 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184620007 | Donald V Eckels | Dentist | 3300 Edinborough Way, Ste 203, Edina, MN 55435-5958 | 2005-06-24 |
| 1346797347 | Kathryn Hecht | Psychologist | 3300 Edinborough Way, Ste 650, Edina, MN 55435-5923 | 2016-09-07 |
| 1699222604 | Kathryn F. Hecht Ph.d., L.p. L.L.C. | Psychologist | 3300 Edinborough Way, Ste 650, Edina, MN 55435-5923 | 2016-09-07 |
| 1497192553 | Rian James Cleary | Optometrist | 3300 Edinborough Way, #412, Edina, MN 55435-5923 | 2013-05-30 |
| 1760734982 | Stacy Rae Freiheit | Psychologist | 3300 Edinborough Way, Suite 650, Edina, MN 55435-5923 | 2012-10-11 |
| 1598067977 | North Star Eye Associates | Optometrist | 3300 Edinborough Way, Ste 412, Edina, MN 55435-5923 | 2010-11-17 |
| 1013154491 | Ryan Robert Fischer | Chiropractor | 3300 Edinborough Way, Suite 108, Edina, MN 55435-5923 | 2009-01-07 |
| 1801055066 | Plastic Surgery Consultants, Ltd. | Clinic/Center | 3300 Edinborough Way, Suite 505, Edina, MN 55435-5923 | 2008-06-03 |
| 1922266378 | Terri Romanoff-newman | Counselor | 3300 Edinborough Way, # 550, Edina, MN 55435-5923 | 2008-05-31 |
| 1518170570 | Jane Kay Mcnaught | Psychologist | 3300 Edinborough Way, 730, Edina, MN 55435-5923 | 2007-05-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104433416 | Evy Christine Claussen | Social Worker | 6363 France Ave. S., Edina, MN 55435 | 2020-09-30 |
| 1508496621 | Samantha Jean Mcgough Lamere | Physician Assistant | 4300 Marketpointe Drive, Suite 100, Bloomington, MN 55435 | 2020-01-16 |
| 1659920460 | Jand. Inc. | Eyewear Supplier (Equipment, not the service) | 3408 Galleria, Edina, MN 55435 | 2019-09-05 |
| 1730651639 | Taylor Lee Kehoe | Physician Assistant | 7400 France Ave., Suite #100, Edina, MN 55435 | 2018-12-18 |
| 1538666326 | Amanda Deangelo | Physical Therapist | 6401 Southdale Hospital, Ll3g, Edina, MN 55435 | 2018-04-09 |
| 1982107876 | Julia Seliber | Dental Hygienist | 7600 France Ave.s. Suite 1100, Edina, MN 55435 | 2018-03-16 |
| 1154840064 | Southhealth Asc, LLC | Clinic/Center | 4100 Minnesota Drive, Edina, MN 55435 | 2017-09-12 |
| 1730605528 | Edina Medical Supplies | Durable Medical Equipment & Medical Supplies | 7455 France Ave., #614 S, Edina, MN 55435 | 2017-08-14 |
| 1033565510 | Minnesota Disc Replacement and Spine Restoration Center | Clinic/Center | 4444 76 St, #700, Edina, MN 55435 | 2016-05-13 |
| 1306206321 | Barb Ryan | Mechanotherapist | 7550 France Avenue S, #220, Edina, MN 55435 | 2016-03-03 |
| Find all providers in zip 55435 | ||||
| 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 |
|---|---|---|---|---|
| 1811490527 | Allison Forbes | Dentist | 6516 W Shore Dr, Edina, MN 55435-1527 | 2018-03-09 |
| 1760837041 | Family and Cosmetic Gentle Dentistry | Dentist | 5107 Gus Young Ln, Edina, MN 55436-1530 | 2016-04-25 |
| 1174884753 | Russell N. Frys Jr,, Dds Pa | Dentist | 7550 France Ave South, Suite 138, Edina, MN 55435-4761 | 2012-05-31 |
| 1730466996 | Gina Louise Smith Hughes | Dentist | 5101 Vernon Avenue South, Suite 1 B, Edina, MN 55436 | 2011-11-15 |
| 1154568293 | Dulac Dental Ltd | Dentist | 6550 York Ave S Ste 202, Edina, MN 55435-2333 | 2009-01-12 |
| 1558525204 | Geeta Ramesh Sukhani | Dentist | 7300 France Ave S #110, Edina, MN 55435 | 2008-07-11 |
| 1780845073 | Joseph James Varno | Dentist | 5112 Duggan Plz, Edina, MN 55439-1453 | 2008-06-19 |
| 1407979511 | Tara Kaur | Dentist | 7701 York Ave South, Suite #140, Edina, MN 55435 | 2007-04-06 |
| 1184748634 | Carl E Schneider | Dentist | 3925 W 44th St, Edina, MN 55424-1032 | 2007-03-19 |
| 1346300217 | Sandra Rae Nelson | Dentist | 6545 France Ave S Ste 390, Edina, MN 55435-2121 | 2006-12-11 |
| Find all providers in EDINA | ||||
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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.