DR. DWIGHT LAYNE JOHNSON D.M.D., M.S.
NPI 1043297153
Dentist - Periodontics in Walla Walla, WA

Q: What is Dwight Johnson's NPI number?

The NPI number for Dwight Johnson is 1043297153. It was assigned to this individual provider in the NPPES registry on December 29, 2005.

Q: What is Dwight Johnson's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

Q: Is Dwight Johnson enrolled in Medicare?

No. Dwight Johnson has opted out of Medicare through June 23, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

Q: When was this NPI record last updated?

The NPPES record for Dwight Johnson was last updated on September 14, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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 December 29, 2005Opted out of Medicare · through Jun 23, 2027

1129 S 2ND AVE STE D, WALLA WALLA, WA 99362(509) 516-1200(509) 516-1209 Get Directions Write a Review

NPPES record last updated: September 14, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 14, 2022, Mar 30, 2018, Sep 29, 2016 (3 updates tracked since 2016).

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About Dr. Dwight Layne Johnson D.m.d., M.s. NPPES

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

DR. DWIGHT LAYNE JOHNSON D.M.D., M.S. (NPI 1043297153) is an individual periodontics provider in Walla Walla, Washington, licensed in Washington (DE00010960) and active in the NPI registry since December 2005. He has opted out of Medicare through June 23, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1043297153

Entity TypeIndividualMale

Primary Taxonomy1223P0300X

Provider Legal NameDR. DWIGHT LAYNE JOHNSONCredential: D.M.D., M.S.

Location Address1129 S 2ND AVE STE DWalla Walla, WA 99362-4100

Mailing Address1129 S 2nd Ave Ste DWalla Walla, WA 99362-4100 · (509) 516-1200 · Fax (509) 516-1209

Phone(509) 516-1200

Fax(509) 516-1209

Sole ProprietorNo

Enumeration DateDecember 29, 2005

Last NPPES UpdateSeptember 14, 20223 updates tracked since enumeration

NPPES CertifiedSeptember 14, 2022

✔ NPI 1043297153 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · PeriodonticsDental Providers

Taxonomy Code1223P0300X

Licenses✔ Licensed in WA · DE00010960✔ Licensed in ID · D-3382✔ Licensed in UT · 376097-9921

Definition

That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.

1129 S 2ND AVE STE D, Walla Walla, WA 99362

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Dwight Layne Johnson D.m.d., M.s. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from June 23, 2023 through June 23, 2027.

Opt-Out Effective DateJune 23, 2023

Opt-Out In Effect ThroughJune 23, 2027Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 99362 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

$88.29 typical visit price

range $57.27 – $172.80

Typical copayment $22.07 (range $14.31 – $43.20)

Most-billed visit code 99203

Established Patient

$71.29 typical visit price

range $18.56 – $141.11

Typical copayment $17.82 (range $4.64 – $35.27)

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.

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 Dwight Johnson's NPI number?

The NPI number for Dwight Johnson is 1043297153. It was assigned to this individual provider in the NPPES registry on December 29, 2005.

Where is Dwight Johnson located?

Dwight Johnson practices at 1129 S 2nd Ave Ste D, Walla Walla, WA 99362. The listed phone number is (509) 516-1200.

What is Dwight Johnson's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

Is Dwight Johnson enrolled in Medicare?

No. Dwight Johnson has opted out of Medicare through June 23, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Dwight Johnson was last updated on September 14, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.