Dr. Keith A Johnson, DDS
Dentist, General Practice in Irvine, CA. Individual provider (NPI-1).
NPI number1043324734
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1043324734
- Entity type
- Individual (NPI-1)
- Name
- Dr. Keith A Johnson
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Aug 18, 2006
- Last updated
- Jul 8, 2007
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 37429 | CA | Yes |
Practice location
2860 Michelle2nd Floor
Irvine, CA 92606-1009
Phone 714-508-3600 · Fax 714-368-2092
Mailing address
2409 Saviers RdOxnard, CA 93033-4523
Phone 805-487-0487 · Fax 805-487-5805
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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