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KEVIN J JOHNSON D.D.S.
NPI 1821161910
Dentist - General Practice in Bemidji, MN

Active since November 16, 2006
603 BEMIDJI AVE N, BEMIDJI, MN 56601(218) 751-4523(218) 751-0285 Get Directions Write a Review

NPPES record last updated: December 21, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kevin J Johnson D.d.s. NPPES

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

KEVIN J JOHNSON D.D.S. (NPI 1821161910) is an individual general practice provider in Bemidji, Minnesota, licensed in Minnesota (10118) and active in the NPI registry since November 2006.

NPPES Registry Identity

NPI1821161910
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameKEVIN J JOHNSONCredential: D.D.S.
Location Address603 BEMIDJI AVE NBemidji, MN 56601-3015
Mailing AddressPo Box 338Bemidji, MN 56619-0338 · (218) 751-4523 · Fax (218) 751-0285
Phone(218) 751-4523
Fax(218) 751-0285
Sole ProprietorNo
Enumeration DateNovember 16, 2006
Last NPPES UpdateDecember 21, 2009
✔ NPI 1821161910 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in MN · 10118
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
603 BEMIDJI AVE N, Bemidji, MN 56601
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Other Identifiers 1

Medicaid628820100MN

Other Providers at the Same Location NPPES 2

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

LAKEVIEW DENTAL CLINIC
Dentist (General Practice)
603 BEMIDJI AVE N
BEMIDJI, MN 56601
Beltrami County (218) 751-4523
RICHARD A JOHNSON DDS
Dentist (General Practice)
603 BEMIDJI AVE N
BEMIDJI, MN 56601
Beltrami County (218) 751-4523

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 Kevin Johnson's NPI number?

The NPI number for Kevin Johnson is 1821161910. It was assigned to this individual provider in the NPPES registry on November 16, 2006.

Where is Kevin Johnson located?

Kevin Johnson practices at 603 Bemidji Ave N, Bemidji, MN 56601. The listed phone number is (218) 751-4523.

What is Kevin Johnson's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Kevin Johnson was last updated on December 21, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.