DR. KEENON JOHNSON DDS, MS
NPI 1659579647
Dentist - Endodontics in Raleigh, NC

Q: What is Keenon Johnson's NPI number?

The NPI number for Keenon Johnson is 1659579647. It was assigned to this individual provider in the NPPES registry on July 11, 2007.

Q: What is Keenon Johnson's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Endodontics, with taxonomy code 1223E0200X.

Q: When was this NPI record last updated?

The NPPES record for Keenon Johnson was last updated on January 10, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years 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.

Active since July 11, 2007

10208 CERNY ST, SUITE 304, RALEIGH, NC 27617(919) 706-0617(919) 825-3361 Get Directions Write a Review

NPPES record last updated: January 10, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Dr. Keenon Johnson Dds, Ms NPPES

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

DR. KEENON JOHNSON DDS, MS (NPI 1659579647) is an individual endodontics provider in Raleigh, North Carolina, licensed in North Carolina (8669) and active in the NPI registry since July 2007.

NPPES Registry Identity

NPI1659579647

Entity TypeIndividualMale

Primary Taxonomy1223E0200X

Provider Legal NameDR. KEENON JOHNSONCredential: DDS, MS

Location Address10208 CERNY ST, SUITE 304Raleigh, NC 27617-7884

Mailing Address10208 Cerny St, Suite 304Raleigh, NC 27617-7884 · (919) 706-0617 · Fax (919) 825-3361

Phone(919) 706-0617

Fax(919) 825-3361

Sole ProprietorYes

Enumeration DateJuly 11, 2007

Last NPPES UpdateJanuary 10, 2012

✔ NPI 1659579647 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · EndodonticsDental Providers

Taxonomy Code1223E0200X

License✔ Licensed in NC · 8669

Definition

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.

10208 CERNY ST, Raleigh, NC 27617

Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of NC and more.Insurance ›

Other Providers at the Same Location NPPES 16

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

SCOTT DAVID NASH MD

Allergy & Immunology

10208 CERNY ST, SUITE 308
RALEIGH, NC 27617

Wake County (919) 806-8500

RAM NEELAGIRI MD

Family Medicine

10208 CERNY ST, SUITE 110
RALEIGH, NC 27617

Wake County (984) 215-4590

NATALIE JANE ADAMS NP

Nurse Practitioner (Family)

10208 CERNY ST
RALEIGH, NC 27617

Wake County (919) 797-0550

ASSOCIATED UROLOGISTS OF NORTH CAROLINA, PA

Urology

10208 CERNY ST, SUITE 202
RALEIGH, NC 27617

Wake County (919) 758-8677

ATLANTIC REPRODUCTIVE MEDICINE SPECIALISTS

Obstetrics & Gynecology (Reproductive Endocrinology)

10208 CERNY ST, 306
RALEIGH, NC 27617

Wake County (919) 248-8777

RALEIGH EAR, NOSE, AND THROAT, HEAD AND NECK SURGERY, INC

Otolaryngology

10208 CERNY ST, SUITE 300
RALEIGH, NC 27617

Wake County (919) 354-1290

DR. SANGHYUN JU DC

Chiropractor

10208 CERNY ST, SUITE 205
RALEIGH, NC 27617

Wake County (919) 405-2002

DR. EVODIE VERSULIEN MD

Family Medicine

10208 CERNY ST
RALEIGH, NC 27617

Wake County (919) 883-4389

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 Keenon Johnson's NPI number?

The NPI number for Keenon Johnson is 1659579647. It was assigned to this individual provider in the NPPES registry on July 11, 2007.

Where is Keenon Johnson located?

Keenon Johnson practices at 10208 Cerny St Suite 304, Raleigh, NC 27617. The listed phone number is (919) 706-0617.

What is Keenon Johnson's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Endodontics, with taxonomy code 1223E0200X.

What insurance does Keenon Johnson accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of NC, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 1 other insurer list Keenon Johnson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Keenon Johnson was last updated on January 10, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years 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.