ANDREW PAULLIN JOHNSON D.M.D.
NPI 1053479279
Dentist in Moses Lake, WA

Q: What is Andrew Johnson's NPI number?

The NPI number for Andrew Johnson is 1053479279. It was assigned to this individual provider in the NPPES registry on December 4, 2006.

Q: What is Andrew Johnson's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Q: When was this NPI record last updated?

The NPPES record for Andrew Johnson was last updated on January 23, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since December 04, 2006PECOS Enrolled

605 S COOLIDGE ST, MOSES LAKE, WA 98837(509) 765-0674 Get Directions Write a Review

NPPES record last updated: January 23, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Andrew Paullin Johnson D.m.d. NPPES

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

ANDREW PAULLIN JOHNSON D.M.D. (NPI 1053479279) is an individual dentist in Moses Lake, Washington, licensed in Washington (DE00010277) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1053479279

Entity TypeIndividualMale

Primary Taxonomy122300000X

Provider Legal NameANDREW PAULLIN JOHNSONCredential: D.M.D.

Location Address605 S COOLIDGE STMoses Lake, WA 98837-1873

Mailing Address605 S Coolidge StMoses Lake, WA 98837-1873 · (509) 679-5352

Phone(509) 765-0674

Sole ProprietorNo

Enumeration DateDecember 4, 2006

Last NPPES UpdateJanuary 23, 2026

NPPES CertifiedJanuary 23, 2026

✔ NPI 1053479279 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in WA · DE00010277

Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

605 S COOLIDGE ST, Moses Lake, WA 98837

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Secondary Practice Locations 2

Location 11450 1st Ave SWQuincy, WA 98848-1695 · Phone (509) 787-6423

Location 2457 1st Ave NWEphrata, WA 98823-2422 · Phone (509) 754-6199

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 ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Andrew Paullin Johnson D.m.d. 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 98837 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.

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Other Providers at the Same Location NPPES 20

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

MOSES LAKE COMMUNITY HEALTH CENTER

Clinic/Center (Federally Qualified Health Center (FQHC))