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NPI 1346565165ActiveOrganization· Dentist· Canby, OR

Dentist in Canby, Oregon, registered in NPPES in April 2010. The authorized official on file is Kevin Brooks Johnson, DMD, Owner.

Overview

NPI1346565165
StatusActive
Entity typeOrganization
NPI issuedApr 5, 2010
Last updated in NPPESApr 11, 2012

Specialties and licenses

TaxonomyCodeLicenseState
Dentist Primary122300000XD9406OR

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Other dentists in Canby

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