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DR. KEVIN JOHNSON DDS
NPI 1114419454
Dentist - General Practice in Youngstown, OH

Active since June 02, 2018PECOS Enrolled
1001 COVINGTON ST, YOUNGSTOWN, OH 44510(330) 480-3195 Get Directions Write a Review

NPPES record last updated: February 28, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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

NPI1114419454
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. KEVIN JOHNSONCredential: DDS
Location Address1001 COVINGTON STYoungstown, OH 44510-1617
Mailing Address1001 Covington StYoungstown, OH 44510-1617 · (330) 480-3195
Phone(330) 480-3195
Sole ProprietorNo
Enumeration DateJune 2, 2018
Last NPPES UpdateFebruary 28, 2020
✔ NPI 1114419454 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in OH · 30.025485
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.
1001 COVINGTON ST, Youngstown, OH 44510
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Secondary Practice Location 1

Location 17260 West Blvd Ste GYoungstown, OH 44512-4383 · Phone (330) 720-4774

Other Identifiers 1

Medicaid0364263OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health 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)

Dr. Kevin Johnson Dds 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 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.

New Patient
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$68.07 typical visit price
range $17.10 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
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 20

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

DR. VIPIN DAS VILLGRAN MD
Internal Medicine (Pulmonary Disease)
1001 COVINGTON ST
YOUNGSTOWN, OH 44510
Mahoning County (330) 480-3258
MICHAEL R SIPPEL MD
Surgery
1001 COVINGTON ST
YOUNGSTOWN, OH 44510
Mahoning County (330) 480-2371
JOANNE GRACE SANTOS GREISING MD
Internal Medicine
1001 COVINGTON ST
YOUNGSTOWN, OH 44510
Mahoning County (330) 480-2616
AKSHITA KAUSHAL MD
Student in an Organized Health Care Education/Training Program
1001 COVINGTON ST, ST ELIZABETH YOUNGSTOWN HOSPITAL, INTERNAL MEDICINE
YOUNGSTOWN, OH 44510
Mahoning County (330) 480-2616
CYNTHIA ANN KRAVEC MD
Internal Medicine
1001 COVINGTON ST
YOUNGSTOWN, OH 44510
Mahoning County (330) 480-2616
CHITSIMRAN MANN
Internal Medicine
1001 COVINGTON ST
YOUNGSTOWN, OH 44510
Mahoning County (330) 480-3565
ANGELA SALCEDO AQUINO
Internal Medicine
1001 COVINGTON ST
YOUNGSTOWN, OH 44510
Mahoning County (330) 480-2616
DR. CHARLES A PAGE DMD
Dentist (General Practice)
1001 COVINGTON ST
YOUNGSTOWN, OH 44510
Mahoning County (330) 480-3195

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.

What insurance does Kevin Johnson accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Delta Dental of Ohio and Molina Healthcare and 1 other insurer 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.