MR. KEITH E JOHNSON (NPI# 1952529133) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952529133 |
| Entity Type | Individual |
| Full Name | MR. KEITH E JOHNSON |
| Practice Address |
13270 Big Basin Way Boulder Creek CA 95006 |
| Practice Telephone | 8313382131 |
| Practice Fax Number | 8313382183 |
| Mailing Telephone | 8313382131 |
| Mailing Fax Number | 8313382183 |
| Enumeration Date | 2007-04-23 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
42162 | CA | Dental Providers |
| 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 |
| 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 |
| 1841263159 | Keith A Johnson | Psychiatry & Neurology | 33 Fruit St, Mass General Physican Organization, Boston, MA 02114-2621 | 2006-02-08 |
| Street Address |
13270 BIG BASIN WAY |
| City | BOULDER CREEK |
| State | CA |
| Zip Code | 95006 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144396292 | Erin Eileen Carlson-jones | Social Worker | 1600 W. Campbell Ave., Suite 201, Campbell, CA 95006 | 2006-11-28 |
| 1386722353 | Debra Ann Woo | Dentist | 12880 Hwy 9, Boulder Creek, CA 95006 | 2006-11-01 |
| 1578643862 | Julie Anya Broder | Acupuncturist | 12704 Hwy 9, Boulder Creek, CA 95006 | 2006-10-17 |
| 1629165584 | Boulder Creek Pharmacy | Pharmacy | 13081 Central Ave, Boulder Creek, CA 95006 | 2006-10-10 |
| 1730182163 | Howard & Tibbetts Physical Therapy, Inc. | Physical Therapist | 13350 West Park Ave, Ste A2, Boulder Creek, CA 95006 | 2005-05-31 |
| 1467570697 | Christopher Ernest Mayer | Pharmacist | 13081 Central Ave, Boulder Creek, CA 95006 | 2007-03-26 |
| 1932282498 | Julia Diane Crawford | Family Medicine | 13350 Big Basin Way, Boulder Creek, CA 95006 | 2006-10-20 |
| 1427460823 | Jordenne Rachelle | Counselor | 133 Grove St, Boulder Creek, CA 95006-8910 | 2014-05-20 |
| 1790710515 | Patrick Brendan Rogers | Chiropractor | 13266 Highway 9, Suite A, Boulder Creek, CA 95006-8913 | 2006-07-11 |
| 1508481631 | Anna Sramek | Dietitian, Registered | 515 Steller Way, Boulder Creek, CA 95006-9053 | 2020-06-15 |
| Find all providers in zip 95006 | ||||
| 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 |
|---|---|---|---|---|
| 1255763116 | Steven John Morandi | Dentist | 12880 Highway 9, Boulder Creek, CA 95006-9114 | 2013-08-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255932141 | Jason T Garland | Dentist | 7892 Sitio Mirto, Carlsbad, CA 92009-6999 | 2020-11-05 |
| 1386245462 | Miller Skinner and Dastrup Dental Corporation of Madera | Dentist | 118 N A St, Madera, CA 93638-3210 | 2020-11-04 |
| 1912508177 | Adrian Acosta Dds A Professional Dental Corp | Dentist | 951 W. Whittier Blvd, La Habra, CA 90631-3743 | 2020-11-04 |
| 1871194175 | Lawrence G. Low Dds & Kenneth Y.k. Li Dds | Dentist | 229 Cajon St Ste 3, Redlands, CA 92373-5284 | 2020-11-03 |
| 1881295384 | Jimmy Nguyen Dds Inc | Dentist | 13089 Peyton Dr. Ste. B, Chino Hills, CA 91709 | 2020-11-03 |
| 1083214282 | Sara Davidson, Dds, PC | Dentist | 176 Terra Vista Ave, San Francisco, CA 94115-3824 | 2020-10-27 |
| 1871192484 | David Moody Dental Corporation | Dentist | 19737 W Valley Blvd, Tehachapi, CA 93561-8601 | 2020-10-23 |
| 1407455181 | Julia Nguyen | Dentist | 9225 Mira Mesa Blvd Ste 218, San Diego, CA 92126-4811 | 2020-10-22 |
| 1104425248 | Aditi Mehndiratta | Dentist | 17585 Vierra Canyon Rd, Prunedale, CA 93907-3312 | 2020-10-20 |
| 1346849452 | Lauren Gabrielle Alfonso Santos | Dentist | 4005 Manzanita Ave Ste 50, Carmichael, CA 95608-1784 | 2020-10-20 |
| Find all providers with the same taxonomy | ||||
| City | BOULDER CREEK |
| Zip Code | 95006 |
Please comment or provide details below to improve the information on MR. KEITH E JOHNSON.
| 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.