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Keenon Johnson, DDS, MS
NPI 1659579647 · Endodontics · Raleigh, NC
Keenon Johnson, DDS, MS is a Endodontics provider in Raleigh, NC (NPI 1659579647).
Provider details
- NPI number
- 1659579647
- Entity type
- Individual
- Primary specialty
- EndodonticsDental Providers
- Credential
- DDS, MS
- Sex
- Male
- Sole proprietor
- Yes
- License
- 8669 (NC)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 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
10208 Cerny St
Suite 304
Raleigh, NC 27617-7884
Phone: (919) 706-0617
Fax: (919) 825-3361
Street-level locationGet directions
Mailing address
10208 Cerny St
Raleigh, NC 27617-7884
Registry dates
- Enumerated
- 2007-07-11
- Last updated
- 2012-01-10
Frequently asked questions
- What is Keenon Johnson's NPI number?
- Keenon Johnson's National Provider Identifier (NPI) is 1659579647, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Keenon Johnson's specialty?
- Keenon Johnson is listed in the NPPES registry with a primary specialty of Endodontics (Dental Providers).
- Where is Keenon Johnson located?
- Keenon Johnson's practice location on file with NPPES is 10208 Cerny St, Raleigh, NC 27617-7884.
- What is Keenon Johnson's phone number?
- The practice phone number listed in the NPPES registry for Keenon Johnson is (919) 706-0617.
- Is Keenon Johnson's NPI active?
- Yes — Keenon Johnson's NPI (1659579647) is active in the NPPES registry as of the last update on 2012-01-10.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.