DR. KEVIN JOHNSON DDS
NPI 1114419454
Dentist - General Practice in Youngstown, OH
About Dr. Kevin Johnson Dds NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. KEVIN JOHNSON DDS (NPI 1114419454) is an individual general practice provider in Youngstown, Ohio, licensed in Ohio (30.025485) and active in the NPI registry since June 2018. He is enrolled in Medicare PECOS and maintains a secondary practice location in Youngstown.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Kevin Johnson Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Kevin Johnson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Youngstown, OH 44504
- Reassigned Medicare billing, Ohio enrollment
- 744 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 44510 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
YOUNGSTOWN, OH 44510
YOUNGSTOWN, OH 44510
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 Kevin Johnson's NPI number?
The NPI number for Kevin Johnson is 1114419454. It was assigned to this individual provider in the NPPES registry on June 2, 2018.
Where is Kevin Johnson located?
Kevin Johnson practices at 1001 Covington St, Youngstown, OH 44510. The listed phone number is (330) 480-3195.
What is Kevin Johnson's specialty?
The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.
Is Kevin Johnson enrolled in Medicare?
Yes. Kevin Johnson is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Kevin Johnson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kevin Johnson reassigns Medicare benefits to Mercy Health Physicians Youngstown Specialty Care LLC (Youngstown, OH). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kevin Johnson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kevin Johnson accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and Delta Dental of Ohio and 2 other insurers list Kevin 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 Kevin Johnson was last updated on February 28, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Dr. Kevin Johnson, DDS · NPI 1114419454
General Practice provider in Youngstown, Ohio. Individual provider, active in the CMS NPPES registry since June 2, 2018.
## Identity
- **NPI:** 1114419454 (Entity type: Individual)
- **Enumerated:** June 2, 2018
- **Primary specialty:** Dentist - General Practice · taxonomy 1223G0001X
- **State license:** 30.025485 (Ohio)
- **Sole proprietor:** No
## Practice location
- **Address:** 1001 COVINGTON ST, Youngstown, OH 44510-1617
- **Phone:** (330) 480-3195
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Bills Medicare through:** Mercy Health Physicians Youngstown Specialty Care LLC (NPI 1609544055, Youngstown, OH), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 28, 2020
- **Other identifiers:** Medicaid 0364263 (OH)
---
Source: [NPI Profile](https://npiprofile.com/npi/1114419454) · Data from the CMS NPPES public registry.