IndividualActive
Kenneth Johnson, D.D.S.
NPI 1497836704 · Pediatric Dentistry · Tupelo, MS
Kenneth Johnson, D.D.S. is a Pediatric Dentistry provider in Tupelo, MS (NPI 1497836704).
Provider details
- NPI number
- 1497836704
- Entity type
- Individual
- Primary specialty
- Pediatric DentistryDental Providers
- Credential
- D.D.S.
- Sex
- Male
- Sole proprietor
- Yes
- License
- PEDO29796 (MS)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
704 Hillcrest
Tupelo, MS 38804
Phone: (662) 840-8540
Fax: (662) 840-0629
Street-level locationGet directions
Mailing address
1407 Mitts Dr
Tupelo, MS 38801-2215
Registry dates
- Enumerated
- 2006-10-17
- Last updated
- 2007-07-08
Frequently asked questions
- What is Kenneth Johnson's NPI number?
- Kenneth Johnson's National Provider Identifier (NPI) is 1497836704, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kenneth Johnson's specialty?
- Kenneth Johnson is listed in the NPPES registry with a primary specialty of Pediatric Dentistry (Dental Providers).
- Where is Kenneth Johnson located?
- Kenneth Johnson's practice location on file with NPPES is 704 Hillcrest, Tupelo, MS 38804.
- What is Kenneth Johnson's phone number?
- The practice phone number listed in the NPPES registry for Kenneth Johnson is (662) 840-8540.
- Is Kenneth Johnson's NPI active?
- Yes — Kenneth Johnson's NPI (1497836704) is active in the NPPES registry as of the last update on 2007-07-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.