Kendrick Johnson, D.O.
NPI 1558700054 · Family Medicine Physician · Williams, AZ
Enrolled with Medicare as Practitioner - Family Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Kendrick Johnson, D.O. is a Family Medicine Physician provider in Williams, AZ (NPI 1558700054).
Provider details
- NPI number
- 1558700054
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- D.O.
- Sex
- Male
- Sole proprietor
- No
- License
- 6702 (AZ)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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
Mailing address
Additional practice locations (1)
- 1 Clinic RdGrand Canyon, AZ 86023-0290Phone: (928) 638-2551Fax: (928) 638-2598
Registry dates
- Enumerated
- 2013-06-18
- Last updated
- 2026-05-05
- Certified
- 2026-05-05
Frequently asked questions
- What is Kendrick Johnson's NPI number?
- Kendrick Johnson's National Provider Identifier (NPI) is 1558700054, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kendrick Johnson's specialty?
- Kendrick Johnson is listed in the NPPES registry with a primary specialty of Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Kendrick Johnson located?
- Kendrick Johnson's practice location on file with NPPES is 300 S 6th St, Williams, AZ 86046-0110.
- What is Kendrick Johnson's phone number?
- The practice phone number listed in the NPPES registry for Kendrick Johnson is (928) 635-4441.
- Does Kendrick Johnson accept Medicare?
- Kendrick Johnson is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Kendrick Johnson's NPI active?
- Yes — Kendrick Johnson's NPI (1558700054) is active in the NPPES registry as of the last update on 2026-05-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.