Dr Caleb Johnsen, DDS is a
Dentist based in Tipton, Missouri. Dr Caleb Johnsen is licensed to practice in Missouri (license number 2019014269) and his current practice location is
303 S Osage Ave, Tipton, Missouri. He can be reached at his office (for appointments etc.) via phone at
(660) 433-5741.
NPI number for Dr Caleb Johnsen is 1457754004 and his current mailing address is 3816 Nw 75th St, Kansas City, Missouri. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1457754004.
Healthcare Provider's Profile
Full Name | Dr Caleb Johnsen |
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Gender | Male |
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Speciality | Dentist |
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Location | 303 S Osage Ave, Tipton, Missouri |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1457754004
- Provider Enumeration Date: 09/26/2014
- Last Update Date: 12/18/2019
Medical Identifiers
Medical identifiers for Dr Caleb Johnsen such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1457754004 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
122300000X | Dentist | 2019014269 (Missouri) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Caleb Johnsen is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Dr Caleb Johnsen, DDS 3816 Nw 75th St, Kansas City, MO 64151-4247 Ph: (816) 541-1897 | Dr Caleb Johnsen, DDS 303 S Osage Ave, Tipton, MO 65081-8470 Ph: (660) 433-5741 |
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