MR. KEITH DAVID JOHNSON (NPI# 1336330810) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336330810 |
| Entity Type | Individual |
| Full Name | MR. KEITH DAVID JOHNSON |
| Credential | DDS |
| Practice Address |
26 S Village Dr Liberty MO 64068 |
| Mailing Address |
7912 Nw Barr Lane Kc MO 64152 |
| Practice Telephone | 8167817571 |
| Practice Fax Number | 8167817933 |
| Mailing Telephone | 8167466246 |
| Mailing Fax Number | 8167817933 |
| Enumeration Date | 2007-08-08 |
| Last Update Date | 2007-08-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
014182 | MO | 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 |
| 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 |
| 1841263159 | Keith A Johnson | Psychiatry & Neurology | 33 Fruit St, Mass General Physican Organization, Boston, MA 02114-2621 | 2006-02-08 |
| Street Address |
26 S VILLAGE DR |
| City | LIBERTY |
| State | MO |
| Zip Code | 64068 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851781520 | Jackson Family Dental LLC | Dentist | 26 S Village Dr, Liberty, MO 64068-2457 | 2015-02-02 |
| 1235458514 | Jesse L Jackson | Dentist | 26 S Village Dr, Liberty, MO 64068-2457 | 2010-05-25 |
| 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 | 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 |
|---|---|---|---|---|
| 1194345330 | Ryan Holbrook Dds LLC | Dentist | 1504 N Church Rd Ste A, Liberty, MO 64068-7163 | 2020-04-17 |
| 1790239283 | Lauren David | Dentist | 211 Regal Ln, Liberty, TX 77575-3176 | 2016-08-12 |
| 1285901264 | Laura B Scott | Dentist | 428 Hustonville St, Liberty, KY 42539-3140 | 2011-11-19 |
| 1841586955 | David Alexander Mitts | Dentist | 105 N Stewart Ct Ste 140, Liberty, MO 64068-1397 | 2011-06-27 |
| 1972741288 | Philip E Olsen | Dentist | 68 Academy St, Liberty, NY 12754-4705 | 2009-01-23 |
| 1770736357 | Douglas M. Triplett Ddspc | Dentist | 1129 W Kansas St Ste C, Liberty, MO 64068-2297 | 2008-10-28 |
| 1730387655 | Lee Daniel Casey | Dentist | 162 S Broad St, Liberty, MS 39645-8059 | 2007-07-03 |
| 1396954012 | Albert Lindsay Delaney | Dentist | 1917 Cos St, Liberty, TX 77575-4801 | 2007-05-21 |
| 1376672931 | Douglas Martin Triplett | Dentist | 1129c W Kansas, Liberty, MO 64068 | 2007-03-02 |
| 1356470991 | Adrian D Mohn | Dentist | 1129c West Kansas St, Liberty, MO 64068 | 2007-03-02 |
| 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.