Individual
CHARLES KEITH JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1405 WESTOVER HILLS BLVD, #1, RICHMOND, VA 23225
(804) 232-1533
(804) 232-1560
Mailing address
1405 WESTOVER HILLS BLVD, #1, RICHMOND, VA 23225
(804) 232-1533
(804) 232-1560
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
5082
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
103763
ANTHEM
VA
05
—
541035205
—
VA
01
—
805392
UNITED CONCORDIA
VA
Enumeration date
06/14/2006
Last updated
07/24/2012
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us