DR. MARY ANN JOHNSON D.M.D.
NPI 1003286055
Dentist - General Practice in Kiowa, CO

Q: What is Mary Johnson's NPI number?

The NPI number for Mary Johnson is 1003286055. It was assigned to this individual provider in the NPPES registry on October 2, 2015.

Q: What is Mary Johnson's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Q: When was this NPI record last updated?

The NPPES record for Mary Johnson was last updated on April 4, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since October 02, 2015

320 COMANCHE ST., KIOWA, CO 80117(720) 389-9763 Get Directions Write a Review

NPPES record last updated: April 4, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 24, 2016, Oct 2, 2015 (2 updates tracked since 2015).

On this page

About Dr. Mary Ann Johnson D.m.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MARY ANN JOHNSON D.M.D. (NPI 1003286055) is an individual general practice provider in Kiowa, Colorado, licensed in Colorado (DEN.00202717) and active in the NPI registry since October 2015.

NPPES Registry Identity

NPI1003286055

Entity TypeIndividualFemale

Primary Taxonomy1223G0001X

Provider Legal NameDR. MARY ANN JOHNSONCredential: D.M.D.

Location Address320 COMANCHE ST.Kiowa, CO 80117

Mailing Address3205 N Academy Blvd, Suite 130Colorado Springs, CO 80917-5147 · (719) 632-5700

Phone(720) 389-9763

Sole ProprietorYes

Enumeration DateOctober 2, 2015

Last NPPES UpdateApril 4, 20172 updates tracked since enumeration

✔ NPI 1003286055 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in CO · DEN.00202717

Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Also ListedDentistTaxonomy 122300000X · License DN011093 (GA), DEN.00202717 (CO)

320 COMANCHE ST., Kiowa, CO 80117

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Other Identifiers 1

Medicaid80200079CO

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana and more.Insurance ›

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mary Johnson's NPI number?

The NPI number for Mary Johnson is 1003286055. It was assigned to this individual provider in the NPPES registry on October 2, 2015.

Where is Mary Johnson located?

Mary Johnson practices at 320 Comanche St., Kiowa, CO 80117. The listed phone number is (720) 389-9763.

What is Mary Johnson's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

What insurance does Mary Johnson accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 5 other insurers list Mary Johnson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mary Johnson was last updated on April 4, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.