KEENON JOHNSON DDS, MS – NPI #1659579647
Dentist

The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions.

KEENON JOHNSON is a dentist located in RALEIGH, NC. NPPES has assigned the NPI number 1659579647 to KEENON JOHNSON on July 11, 2007. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 1223E0200X from the Health Care Provider Taxonomy code set, which is classified as Dentist, specializing in Endodontics

The NPI profile was previously updated about 14 years ago on Jan 10, 2012. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for KEENON JOHNSON below.

NPI Profile for
KEENON JOHNSON

NPI Number
1659579647
Enumeration Date

(about 19 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
KEENON JOHNSON
Credentials
DDS, MS
Primary location
10208 CERNY ST
SUITE 304
RALEIGH, NC 27617-7884
Phone: (919) 706-0617 Fax: (919) 825-3361
Mailing address
Same as primary location
Sole Proprietor
Yes
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
1223E0200X
- Dentist / Endodontics (Primary)
NC 8669

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.