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DR. JOHN F JOHNSON III DDS
NPI 1124189998
Dentist in Whitesboro, NY

Active since December 13, 2006Opted out of Medicare · through Dec 22, 2027
277 ORISKANY BLVD, WHITESBORO, NY 13492(315) 736-6456(315) 736-3309 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. John F Johnson Iii Dds NPPES

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

DR. JOHN F JOHNSON III DDS (NPI 1124189998) is an individual dentist in Whitesboro, New York, licensed in New York (043500NY) and active in the NPI registry since December 2006. He has opted out of Medicare through December 22, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1124189998
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDR. JOHN F JOHNSON IIICredential: DDS
Location Address277 ORISKANY BLVDWhitesboro, NY 13492
Mailing Address277 Oriskany BlvdWhitesboro, NY 13492 · (315) 736-6456 · Fax (315) 736-3309
Phone(315) 736-6456
Fax(315) 736-3309
Sole ProprietorNo
Enumeration DateDecember 13, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1124189998 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in NY · 043500NY
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.
277 ORISKANY BLVD, Whitesboro, NY 13492
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Other Names 1

Other Name (5)Dr. Jack Farla Johnson Dds

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. John F Johnson Iii 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 December 22, 2015 through December 22, 2027.

Opt-Out Effective DateDecember 22, 2015
Opt-Out In Effect ThroughDecember 22, 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 13492 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$68.57 typical visit price
range $17.54 – $136.14
Typical copayment $17.14 (range $4.38 – $34.03)
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 John Johnson's NPI number?

The NPI number for John Johnson is 1124189998. It was assigned to this individual provider in the NPPES registry on December 13, 2006. The provider is also known as Dr. Jack Farla Johnson Dds.

Where is John Johnson located?

John Johnson practices at 277 Oriskany Blvd, Whitesboro, NY 13492. The listed phone number is (315) 736-6456.

What is John Johnson's specialty?

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

Is John Johnson enrolled in Medicare?

No. John Johnson has opted out of Medicare through December 22, 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.

When was this NPI record last updated?

The NPPES record for John Johnson was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.