KELLIE ANITA JOHNSON


Address: 815 E Berry St # B, Ft Worth, TX 76110-4414
Phone: 8179205919

KELLIE ANITA JOHNSON (NPI# 1346337375) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1346337375
Entity Type Individual
Full Name KELLIE ANITA JOHNSON
Credential DDS
Practice Address 815 E Berry St # B
Ft Worth
TX 76110-4414
Mailing Address 6300 West Loop S Ste 650
Bellaire
TX 77401-2997
Practice Telephone 8179205919
Mailing Telephone 7136637960
Enumeration Date 2006-10-10
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223G0001X Dentist
Specialization: General Practice
21194 TX Dental Providers

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1487192696 Kellie Johnson Licensed Practical Nurse 1910 Arthur Ave, Bronx, NY 10457-6305 2017-02-08
1689064321 Kellie L Johnson Massage Therapist 10700 Se 208th St Ste 207, Kent, WA 98031-5545 2015-02-03
1689916447 Kellie Marie Johnson Counselor 1490 University Blvd, Hamilton, OH 45011-3305 2013-03-20
1750632089 Kellie Renae Johnson Specialist 1315 Sw 6th Ave Ste B, Topeka, KS 66606-1582 2012-09-26
1396975553 Kellie Nicole Johnson Nurse Practitioner 1600 S 48th St, Suite 600, Lincoln, NE 68506-1283 2009-07-22

Office Location

Street Address 815 E BERRY ST # B
City FT WORTH
State TX
Zip Code 76110-4414

Providers in the same location

NPI Name Taxonomy Address Enumeration
1447478847 South Texas Dental Associates, L.p. Dentist 815 E Berry St # B, Ft Worth, TX 76110-4414 2007-04-23
1134203391 Chad C Park Dentist 815 E Berry St # B, Ft Worth, TX 76110-4414 2006-10-24

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1992177240 Sarah Jones Midwifery Midwife 2260 5th Ave, Fort Worth, TX 76110 2015-10-27
1427371814 Cenikor Foundation Community/Behavioral Health 2209 South Main Street, Fort Worth, TX 76110 2010-03-12
1225282320 Ktv Dental, Pa Dentist 2717 8th Ave., Fort Worth, TX 76110 2008-11-17
1821291014 Michael J Davis Dentist 1818 8th Avenue, Fort Worth, TX 76110 2007-06-06
1669513347 Latoya Cherrell Carter Counselor 1814 8th Ave # B201, Fort Worth, TX 76110 2007-02-08
1659446771 Christina Pey-ru Chou Marriage & Family Therapist 1616 Park Place Ave., Fort Worth, TX 76110 2006-11-22
1750461364 Zera Inc Home Health 1050 Forest Park Blvd, Fort Worth, TX 76110 2006-10-17
1144300914 Tai Anh Huynh Optometrist 1405 West Berry St, Fort Worth, TX 76110 2006-10-16
1871510784 Robert T Keller Md & Assco Pa Internal Medicine 2751 Greenoaks Rd, Fort Worth, TX 76110 2006-07-16
1114906633 The Womens Center of Tarrant County Inc Clinic/Center 1723 Hemphill, Fort Worth, TX 76110 2006-01-12
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Taxonomy Information

Taxonomy Code 1223G0001X
Grouping Dental Providers
Classification Dentist
Specialization General Practice

Taxonomy Definition

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

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1831618701 J Cotton Dentist 7410 Mccart Ave, Ft Worth, TX 76133-7428 2017-09-12
1992249239 Tracy Kirk Dds, Pllc Dentist 6300 N. Beach St, Ft Worth, TX 76137 2016-12-06
1952742876 South Texas Dental Associates, Lp Dentist 4200 South Fwy Ste 805, Ft Worth, TX 76115-1437 2013-07-08
1801185608 R & R 15 15, LLC Dentist 6443 Mccart Ave, Ft Worth, TX 76133-4702 2011-04-01
1982929584 David Jerry Greer Dentist 4760 Barwick Dr Ste B, Ft Worth, TX 76132-1529 2010-04-07
1376742353 Reji Mathew Dentist 6600 North Fwy Ste 109, Ft Worth, TX 76137-7556 2007-07-11
1033317961 Smiley Dental Ft Worth Pllc Dentist 1009 E Seminary Dr, Ft Worth, TX 76115-2735 2007-07-03
1316148471 Michael David Tillman Dentist 747 8th Ave Ste C, Ft Worth, TX 76104-2503 2007-05-29
1629280615 Amos Ross Dds Inc Dentist 4760 Barwick Dr, Amos Ross Dds Inc Ste B, Ft Worth, TX 76132 2007-05-04
1083735369 Michael Roy Jackson Dentist 6924 South Fwy, Ft Worth, TX 76134-3800 2007-04-03
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Competitor

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City FT WORTH
Zip Code 76110

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Dataset Information

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.

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