KEITH A. JOHNSON D.D.S.
NPI 1265573505
Exclusive Provider Organization in Oxnard, CA

Active since February 09, 2007
3611 W 5TH ST, STE A, OXNARD, CA 93030(805) 985-1800(805) 984-0598 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Exclusive Provider Organization

About KEITH A. JOHNSON D.D.S.

This page provides the complete NPI Profile along with additional information for Keith A. Johnson D.d.s., a provider established in Oxnard, California operating as a Exclusive Provider Organization. The healthcare provider is registered in the NPI registry with number 1265573505 assigned on February 2007. The practitioner's primary taxonomy code is 302F00000X with license number 37429 (CA). The provider is registered as an organization and their NPI record was last updated 6 years ago. The provider's other name is Keith A. Johnson D.d.s.. The authorized official of this NPI record is Dr. Keith Alan Johnson D.d.s. (Owner)

NPI
1265573505 Verify this NPI
Provider Legal Name
MARINA DENTAL
Other Organization Name
KEITH A. JOHNSON D.D.S.
Other Name Type
Other Name (5)
Entity Type
Organization
Location Address
3611 W 5TH ST STE A OXNARD, CA 93030
Location Phone
(805) 985-1800
Location Fax
(805) 984-0598
Mailing Address
3611 W 5TH ST STE A OXNARD, CA 93030
Mailing Phone
(805) 985-1800
Mailing Fax
(805) 984-0598
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
02-09-2007
Last Update Date
08-22-2020
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Exclusive Provider Organization

Taxonomy Code
302F00000X
Type
Managed Care Organizations
License No.
37429
License State
CA
Taxonomy Description
(1) An EPO is a form of PPO, in which patients must visit a caregiver that is specified on its panel of providers (is a participating provider). If a visit to an outside(not participating) provider is made the EPO offers very limited or no coverage for the medical service; (2) While similar to a PPO in that an EPO allows patients to go outside the network for care, if they do so in an EPO, they are required to pay the entire cost of care. An EPO differs from an HMO in that EPO physicians do not receive capitation but instead are reimbursed only for actual services provided; (3) An organization identical to a preferred provider organization except that persons enrolled in the plan are eligible to receive benefits only when they use the services of the contracting providers. No benefits are available when non-contracting providers are used, except in certain emergency situations.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. KEITH ALAN JOHNSON D.D.S.

Authorized Official Title
OWNER
Authorized Official Phone
(805) 985-1800

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Other Providers at the Same Location


The following 3 providers are registered at the same or a nearby location.

Dentist (General Practice)
3611 W 5TH ST, SUITE A
OXNARD, CA 93030
Dentist (General Practice)
3611 W 5TH ST, SUITE A
OXNARD, CA 93030
Dentist (General Practice)
3611 W 5TH ST
OXNARD, CA 93030

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1265573505, enumerated as an "organization" on February 09, 2007.

The provider is located at 3611 W 5TH ST STE A OXNARD, CA 93030 and the phone number is (805) 985-1800.

Exclusive Provider Organization with taxonomy code 302F00000X.