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DR. PHILIP SHAWN JOHNSON DDS
NPI 1073682100
Dentist - General Practice in Phoenix, AZ

Active since November 06, 2006Opted out of Medicare · through Jan 10, 2027
4025 W. BELL RD, SUITE 7, PHOENIX, AZ 85053(602) 862-0967(602) 547-9735 Get Directions Write a Review

NPPES record last updated: December 5, 2012. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dr. Philip Shawn Johnson Dds NPPES

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

DR. PHILIP SHAWN JOHNSON DDS (NPI 1073682100) is an individual general practice provider in Phoenix, Arizona, licensed in Arizona (5041) and active in the NPI registry since November 2006. He has opted out of Medicare through January 10, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1073682100
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. PHILIP SHAWN JOHNSONCredential: DDS
Location Address4025 W. BELL RD, SUITE 7Phoenix, AZ 85053-2793
Mailing Address4025 W. Bell Rd, Suite 7Phoenix, AZ 85053-2793 · (602) 862-0967 · Fax (602) 547-9735
Phone(602) 862-0967
Fax(602) 547-9735
Sole ProprietorYes
Enumeration DateNovember 6, 2006
Last NPPES UpdateDecember 5, 2012
✔ NPI 1073682100 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in AZ · 5041
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.
4025 W. BELL RD, Phoenix, AZ 85053
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Cigna Healthcare, Delta Dental of Arizona.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

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Opted out of Medicare

Dr. Philip Shawn Johnson Dds 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 January 10, 2025 through January 10, 2027.

Opt-Out Effective DateJanuary 10, 2025
Opt-Out In Effect ThroughJanuary 10, 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 85053 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
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$69.24 typical visit price
range $17.72 – $137.41
Typical copayment $17.31 (range $4.43 – $34.35)
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 Philip Johnson's NPI number?

The NPI number for Philip Johnson is 1073682100. It was assigned to this individual provider in the NPPES registry on November 6, 2006.

Where is Philip Johnson located?

Philip Johnson practices at 4025 W. Bell Rd Suite 7, Phoenix, AZ 85053. The listed phone number is (602) 862-0967.

What is Philip Johnson's specialty?

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

Is Philip Johnson enrolled in Medicare?

No. Philip Johnson has opted out of Medicare through January 10, 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.

What insurance does Philip Johnson accept?

Health plans from Cigna Healthcare and Delta Dental of Arizona list Philip 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 Philip Johnson was last updated on December 5, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.