KENNETH O JOHNSON DDS
NPI 1912058280
Dentist - General Practice in South Holland, IL

Active since January 15, 2007
438 E 162ND ST, SOUTH HOLLAND, IL 60473(708) 333-0699(708) 333-8252 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Kenneth O Johnson Dds NPPES

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

KENNETH O JOHNSON DDS (NPI 1912058280) is an individual general practice provider in South Holland, Illinois and active in the NPI registry since January 2007.

NPPES Registry Identity

NPI1912058280
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameKENNETH O JOHNSONCredential: DDS
Location Address438 E 162ND STSouth Holland, IL 60473-2258
Mailing Address438 E 162nd StSouth Holland, IL 60473-2258 · (708) 333-0699 · Fax (708) 333-8252
Fax(708) 333-8252
Sole ProprietorNo
Enumeration DateJanuary 15, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1912058280 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
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.

438 E 162ND ST, South Holland, IL 60473

Accepted Insurance

Other Providers at the Same Location NPPES

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

Clinic/Center (Dental)
438 E 162ND ST
SOUTH HOLLAND, IL 60473

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 Kenneth Johnson's NPI number?

The NPI number for Kenneth Johnson is 1912058280. It was assigned to this individual provider in the NPPES registry on January 15, 2007.

Where is Kenneth Johnson located?

Kenneth Johnson practices at 438 E 162nd St, South Holland, IL 60473. The listed phone number is (708) 333-0699.

What is Kenneth Johnson's specialty?

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

What insurance does Kenneth Johnson accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Humana list Kenneth 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 Kenneth Johnson was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.