Kenneth Arthur Johnson, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

019823 Issued in IL

Practice address

1531 W Campbell St
Arlington Heights, IL 60005-1513

Phone

(847) 373-3936

NPI assigned

Dec 11, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Kenneth a Johnson DDS LLC

  • Dental Clinic/Center
  • Arlington Heights, IL
  • NPI 1114744331
  NPD Authorized official
• Arlington Heights Dental Group LTD

  • General Practice Dentistry
  • Arlington HTS, IL
  • NPI 1417961848
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737590400000",
    "number": "1497815799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2909 SCOTTLYNNE DR",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600682854",
            "telephone_number": "773-719-9559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1531 W CAMPBELL ST",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600051513",
            "telephone_number": "847-373-3936"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "424 Lake St",
            "address_purpose": "LOCATION",
            "city": "Antioch",
            "state": "IL",
            "postal_code": "600021406",
            "country_code": "US",
            "telephone_number": "847-373-3936",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "KENNETH",
        "middle_name": "ARTHUR",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-11",
        "last_updated": "2025-01-23",
        "certification_date": "2025-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019823",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Edward John, D.D.S.
• Bradley R Johnson, DPT
• Brianna Johnson, LSW
• Bridget R Johnson, APN-CNP
• Brooke T Johnson, D.O.
• Rachael Lynette Johnson
• Sherrill Johnson, RD
• Steven P Johnson, PHD
• Susan K Johnson, A.P.N.
• Tiarra Johnson

• General Practice Dentistry in Arlington Heights, IL
• Providers in Arlington Heights, IL by specialty
• General Practice Dentistry in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.