Keith Johnson Dental Corporation

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

KEITH JOHNSON DENTAL CORPORATION

Doing business as

Rose Dental Group

Practice address

2731 S Rose Avenue
Suite 101
Oxnard, CA 93033

Phone

(805) 483-3658

Fax

(805) 483-3696

NPI assigned

Jan 16, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Keith A Johnson, DDS

Title

Owner Doctor

Phone

(805) 483-3658

Specialties & licenses 1

Addresses

Other names 1

• ROSE DENTAL GROUP Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michelle Helen Alvarez, D.D.S.

  • Dentist
  • Oxnard, CA
  • NPI 1265711147
  NPD (past)
• Llely Duarte, DDS

  • General Practice Dentistry
  • Oxnard, CA
  • NPI 1679109987
  NPD (past)

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

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1243987200000",
    "number": "1811048507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2860 MICHELLE",
            "address_2": "2ND FLOOR",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926061009",
            "telephone_number": "714-508-3600",
            "fax_number": "714-368-2092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2731 S ROSE AVENUE",
            "address_2": "SUITE 101",
            "city": "OXNARD",
            "state": "CA",
            "postal_code": "93033",
            "telephone_number": "805-483-3658",
            "fax_number": "805-483-3696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEITH JOHNSON DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-16",
        "last_updated": "2009-06-03",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "KEITH",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER DOCTOR",
        "authorized_official_telephone_number": "805-483-3658",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ROSE DENTAL GROUP",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Navneet Kaur
• Kristi Kawakami
• Ray Kazemi, D.D.S
• Marie Lazare Kearns, NP
• Keith English M.D. Inc.
• Gaedin A Keller, M.A.
• Colleen M Kelly, C.A.C.
• Kenisha's House
• Elena Christine Kennedy
• Ryan Masaru Kennedy, PA-C

• General Practice Dentistry in Oxnard, CA
• Providers in Oxnard, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.