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DR. GARY ROBERT JOHNSON D.D.S.
NPI 1023117173
Dentist - General Practice in Sherman Oaks, CA

Active since September 22, 2006PECOS Enrolled
4910 VAN NUYS BLVD., SUITE 202, SHERMAN OAKS, CA 91403(818) 981-4824(818) 981-4096 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Gary Robert Johnson D.d.s. NPPES

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

DR. GARY ROBERT JOHNSON D.D.S. (NPI 1023117173) is an individual general practice provider in Sherman Oaks, California, licensed in California (29606) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1023117173
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. GARY ROBERT JOHNSONCredential: D.D.S.
Location Address4910 VAN NUYS BLVD., SUITE 202Sherman Oaks, CA 91403-1760
Mailing Address4910 Van Nuys Blvd., Suite 202Sherman Oaks, CA 91403-1760 · (818) 981-4824 · Fax (818) 981-4096
Phone(818) 981-4824
Fax(818) 981-4096
Sole ProprietorYes
Enumeration DateSeptember 22, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1023117173 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in CA · 29606
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.
4910 VAN NUYS BLVD., Sherman Oaks, CA 91403
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Gary Robert Johnson D.d.s. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91403 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. STEVEN CHARLES BLEIER D.D.S.
Dentist (General Practice)
4910 VAN NUYS BLVD., #107
SHERMAN OAKS, CA 91403
Los Angeles County (818) 501-6000

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 Gary Johnson's NPI number?

The NPI number for Gary Johnson is 1023117173. It was assigned to this individual provider in the NPPES registry on September 22, 2006.

Where is Gary Johnson located?

Gary Johnson practices at 4910 Van Nuys Blvd. Suite 202, Sherman Oaks, CA 91403. The listed phone number is (818) 981-4824.

What is Gary Johnson's specialty?

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

Is Gary Johnson enrolled in Medicare?

Yes. Gary Johnson is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Gary Johnson was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.