Kent Johansen, DDS, PLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

3035 Issued in AZ

Legal business name

KENT JOHANSEN, DDS, PLC

Practice address

3800 W Ray Rd
Suite 11
Chandler, AZ 85226-5940

Phone

(480) 345-0530

Fax

(480) 345-0048

NPI assigned

Mar 22, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Kent Johansen, DDS

Title

Owner

Phone

(480) 345-0530

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1821114778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3800 W RAY RD",
            "address_2": "SUITE 11",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852265940",
            "telephone_number": "480-345-0530",
            "fax_number": "480-345-0048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3800 W RAY RD",
            "address_2": "SUITE 11",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852265940",
            "telephone_number": "480-345-0530",
            "fax_number": "480-345-0048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENT JOHANSEN, DDS, PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JOHANSEN",
        "authorized_official_first_name": "KENT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-345-0530",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "3035",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cori D'Anne Kennedy, NMD
• Katherine Kennedy, PT
• Zachary William Kennedy, PHARMD
• Kathryn Kennelly, OTR/L
• Kenneth L Pettit DO LLC
• Stephen Kenworthy, D.C.
• Samantha Kerans
• Carter Kerber, PA-C
• John Robert Kercheval, DO
• Kerry Lynn Taylor DDS

• General Practice Dentistry in Chandler, AZ
• Providers in Chandler, AZ by specialty
• General Practice Dentistry in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.