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SAMANTHA JO JOHNSON
NPI 1083971956
Dentist - Endodontics in Bowling Green, KY

Active since April 17, 2012PECOS Enrolled
1938 LYDA AVE, BOWLING GREEN, KY 42104(270) 843-5600 Get Directions Write a Review

NPPES record last updated: September 22, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Samantha Jo Johnson NPPES

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

SAMANTHA JO JOHNSON (NPI 1083971956) is an individual endodontics provider in Bowling Green, Kentucky, licensed in Kentucky (9200) and active in the NPI registry since April 2012. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1083971956
Entity TypeIndividualFemale
Primary Taxonomy1223E0200X
Provider Legal NameSAMANTHA JO JOHNSON
Location Address1938 LYDA AVEBowling Green, KY 42104-3326
Mailing Address1938 Lyda AveBowling Green, KY 42104-3326 · (270) 843-5600
Phone(270) 843-5600
Sole ProprietorNo
Enumeration DateApril 17, 2012
Last NPPES UpdateSeptember 22, 2016
✔ NPI 1083971956 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · EndodonticsDental Providers
Taxonomy Code1223E0200X
License✔ Licensed in KY · 9200
Definition
The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions.
Also ListedDentistTaxonomy 122300000X · License 9200 (KY)
1938 LYDA AVE, Bowling Green, KY 42104
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Accepted Insurance

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

Samantha Jo Johnson 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 42104 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
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$66.24 typical visit price
range $16.53 – $131.99
Typical copayment $16.56 (range $4.13 – $32.99)
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 4

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

DR. TONY BRANDON GREER DMD, MD
Dentist (Oral and Maxillofacial Surgery)
1938 LYDA AVE
BOWLING GREEN, KY 42104
Warren County (270) 783-0064
DR. TREY MORGAN EDWARDS DPM
Podiatrist (Foot & Ankle Surgery)
1938 LYDA AVE
BOWLING GREEN, KY 42104
Warren County (502) 447-4500
JORDAN TYLER BUNCH MA, BCBA, LBA
Behavior Analyst
1938 LYDA AVE
BOWLING GREEN, KY 42104
Warren County (855) 444-5664
KENTUCKIANA FOOT & ANKLE, PLLC
Durable Medical Equipment & Medical Supplies
1938 LYDA AVE
BOWLING GREEN, KY 42104
Warren County (270) 796-6160

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 Samantha Johnson's NPI number?

The NPI number for Samantha Johnson is 1083971956. It was assigned to this individual provider in the NPPES registry on April 17, 2012.

Where is Samantha Johnson located?

Samantha Johnson practices at 1938 Lyda Ave, Bowling Green, KY 42104. The listed phone number is (270) 843-5600.

What is Samantha Johnson's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Endodontics, with taxonomy code 1223E0200X.

Is Samantha Johnson enrolled in Medicare?

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

What insurance does Samantha Johnson accept?

Health plans from BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and HRI Dental & Vision and 4 other insurers list Samantha 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 Samantha Johnson was last updated on September 22, 2016. 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.