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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

KEANDRA STEWART-JOHNSON
NPI 1417709239
Dentist in Columbia, SC

Active since April 04, 2024
460 KILLIAN RD STE 1, COLUMBIA, SC 29203(803) 814-0102 Get Directions Write a Review

NPPES record last updated: October 8, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 8, 2026, Mar 25, 2026, Apr 4, 2024 (3 updates tracked since 2024).

About Keandra Stewart-johnson NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KEANDRA STEWART-JOHNSON (NPI 1417709239) is an individual dentist in Columbia, South Carolina, licensed in South Carolina (11607) and active in the NPI registry since April 2024.

NPPES Registry Identity

NPI1417709239
Entity TypeIndividualFemale
Primary Taxonomy122300000X
Provider Legal NameKEANDRA STEWART-JOHNSON
Location Address460 KILLIAN RD STE 1Columbia, SC 29203-9742
Mailing Address460 Killian Rd Ste 1Columbia, SC 29203-9742 · (803) 814-0102
Phone(803) 814-0102
Sole ProprietorYes
Enumeration DateApril 4, 2024
Last NPPES UpdateOctober 8, 20263 updates tracked since enumeration
NPPES CertifiedOctober 8, 2026
✔ NPI 1417709239 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in SC · 11607
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
460 KILLIAN RD STE 1, Columbia, SC 29203
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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ROBERTO SELONK BUECHELE
Dentist
460 KILLIAN RD STE 1
COLUMBIA, SC 29203
Richland County (803) 814-0102

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Keandra Stewart-johnson's NPI number?

The NPI number for Keandra Stewart-johnson is 1417709239. It was assigned to this individual provider in the NPPES registry on April 4, 2024.

Where is Keandra Stewart-johnson located?

Keandra Stewart-johnson practices at 460 Killian Rd Ste 1, Columbia, SC 29203. The listed phone number is (803) 814-0102.

What is Keandra Stewart-johnson's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

When was this NPI record last updated?

The NPPES record for Keandra Stewart-johnson was last updated on October 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.