KEITH D JOHNSON DDS PC (NPI# 1164599452) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1164599452 |
Entity Type | Organization |
Organization Name | KEITH D JOHNSON DDS PC |
Practice Address |
26 S Village Drive Liberty MO 64068 |
Practice Telephone | 8167817571 |
Practice Fax Number | 8167817933 |
Mailing Telephone | 8167817571 |
Mailing Fax Number | 8167817933 |
Enumeration Date | 2006-11-29 |
Last Update Date | 2020-08-22 |
Authorized Official Name | DR. KEITH DAVID JOHNSON (GENERAL DENTIST OWNER) |
Authorized Official Telephone | 8167817571 |
Authorized Official Credential | DDS |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 122300000X | Dentist | 14182 | MO | Dental Providers |
Street Address |
26 S VILLAGE DRIVE |
City | LIBERTY |
State | MO |
Zip Code | 64068 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1700437258 | Midwestern Medical Consultants LLC | Assisted Living Facility | 227 W. Franklin St, Liberty, MO 64068 | 2019-09-26 |
1063935062 | Jennifer Nichole Gibson | Nurse Practitioner | Liberty Hospital 2525 Glen Hendren Dr, Liberty, MO 64068 | 2017-07-21 |
1598288755 | Lhlc Operations, LLC | Skilled Nursing Facility | 2609 Glenn Hendren Dr Ste G100, Liberty, MO 64068 | 2017-07-19 |
1023438371 | Sarah E Ehlers | Social Worker | 1170 W. Kansas Ave, Bldg 10, Liberty, MO 64068 | 2014-04-24 |
1629498563 | Kelli Hedgpeth | Physical Therapy Assistant | 3980 South Jackson Dr, Independence, MO 64068 | 2014-04-18 |
1639593965 | Klein Dental Group LLC | Clinic/Center | 12 Westwoods Dr, Liberty, MO 64068 | 2014-02-06 |
1124457239 | Sarah Ehlers, Lcsw LLC | Social Worker | 1170 W Kansas Ave, Bldg 10, Liberty, MO 64068 | 2013-11-08 |
1134561558 | Holly Hemphill | Marriage & Family Therapist | 117 N. Water Street, Liberty, MO 64068 | 2013-07-26 |
1093157133 | Tina Wilma Sanborn | Marriage & Family Therapist | 1170 W. Kansas St., Liberty, MO 64068 | 2013-07-17 |
1609215441 | Timothy Adam Lynch | Marriage & Family Therapist | 1170 West Kansas Ave., Liberty, MO 64068 | 2013-06-14 |
Find all providers in zip 64068 |
Taxonomy Code | 122300000X |
Grouping | Dental Providers |
Classification | Dentist |
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
Notes: Source: Council on Dental Education and Licensure, American Dental Association |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1043617277 | Smiles To Go, LLC | Dentist | 214 Claiborne St, Liberty, MS 39645-8179 | 2014-12-03 |
1437570942 | Liberty Smiles, Pllc | Dentist | 2129 Highway 146 Byp Ste A, Liberty, TX 77575-6000 | 2013-12-31 |
1780970327 | John A Deakins | Dentist | 6 Victory Ln Ste 1, Liberty, MO 64068-3805 | 2011-06-22 |
1235385055 | Jacob John | Dentist | 37 Triangle Rd, Liberty, NY 12754-3371 | 2008-08-12 |
1174798078 | Dr. Michele Beeler, D.m.d., Pllc | Dentist | 650 Whipp Avenue, Liberty, KY 42539 | 2008-04-23 |
1932327236 | Mark Bryan Beard | Dentist | 6 Victory Lane, Liberty, MO 64068 | 2007-04-23 |
1679631022 | Daniel Thomas Colgan | Dentist | 115 Blue Jay Dr, Ste 104, Liberty, MO 64068 | 2006-12-05 |
1780750307 | Edward William Whiteman | Dentist | 103 Clayview Dr, Liberty, MO 64068 | 2006-11-27 |
1992879787 | Highland Dental Clinic LLC | Dentist | 200 N Forest Ave, Liberty, MO 64068-1070 | 2006-11-20 |
1336210723 | Thomas Edgar Butler Jr. | Dentist | 524 N Greensboro St, Liberty, NC 27298 | 2006-11-10 |
Find all providers in LIBERTY |
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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.