Mr Keith E Johnson, - Dentist in Boulder Creek, CA

Mr Keith E Johnson, is a Dentist - General Practice based in Boulder Creek, California. Mr Keith E Johnson is licensed to practice in California (license number 42162) and his current practice location is 13270 Big Basin Way, Boulder Creek, California. He can be reached at his office (for appointments etc.) via phone at (831) 338-2131.

NPI number for Mr Keith E Johnson is 1952529133 and his current mailing address is 13270 Big Basin Way, Boulder Creek, California. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1952529133.

Contact Information

Mr Keith E Johnson,
13270 Big Basin Way,
Boulder Creek, CA 95006
(831) 338-2131
(831) 338-2183



Healthcare Provider's Profile

Full NameMr Keith E Johnson
GenderMale
SpecialityDentist - General Practice
Location13270 Big Basin Way, Boulder Creek, California
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1952529133
  • Provider Enumeration Date: 04/23/2007
  • Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Mr Keith E Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1952529133NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1223G0001XDentist - General Practice 42162 (California)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Keith E Johnson is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mr Keith E Johnson,
13270 Big Basin Way,
Boulder Creek, CA 95006

Ph: (831) 338-2131
Mr Keith E Johnson,
13270 Big Basin Way,
Boulder Creek, CA 95006

Ph: (831) 338-2131

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› Verified 7 days ago


Dentist in Boulder Creek, CA

Dr. Steven John Morandi, DDS
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 12880 Highway 9, Boulder Creek, CA 95006
Phone: 831-338-1888    Fax: 831-338-5005
Dr. Debra Ann Woo, D.D.S
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 12880 Hwy 9, Boulder Creek, CA 95006
Phone: 831-338-1888    Fax: 831-338-5005
Sulmaan Hassan, DDS
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 12880 Highway 9, Boulder Creek, CA 95006
Phone: 408-621-6773    

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