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KEN JOHNSON D.D.S.
NPI 1124198924
Dentist in Beloit, WI

Active since November 09, 2006PECOS Enrolled
918 E PARK AVENUE PLZ, BELOIT, WI 53511(608) 365-9456 Get Directions Write a Review

NPPES record last updated: March 16, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ken Johnson D.d.s. NPPES

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

KEN JOHNSON D.D.S. (NPI 1124198924) is an individual dentist in Beloit, Wisconsin, licensed in Wisconsin (4352) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1124198924
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameKEN JOHNSONCredential: D.D.S.
Location Address918 E PARK AVENUE PLZBeloit, WI 53511-1753
Mailing Address918 E Park Avenue PlzBeloit, WI 53511-1753 · (608) 365-9456
Phone(608) 365-9456
Sole ProprietorYes
Enumeration DateNovember 9, 2006
Last NPPES UpdateMarch 16, 2012
✔ NPI 1124198924 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in WI · 4352
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.
918 E PARK AVENUE PLZ, Beloit, WI 53511
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Delta Dental of Wisconsin, Inc., Humana.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)

Ken Johnson D.d.s. 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 53511 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
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$67.37 typical visit price
range $17.40 – $133.76
Typical copayment $16.84 (range $4.35 – $33.44)
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 Ken Johnson's NPI number?

The NPI number for Ken Johnson is 1124198924. It was assigned to this individual provider in the NPPES registry on November 9, 2006.

Where is Ken Johnson located?

Ken Johnson practices at 918 E Park Avenue Plz, Beloit, WI 53511. The listed phone number is (608) 365-9456.

What is Ken Johnson's specialty?

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

Is Ken Johnson enrolled in Medicare?

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

What insurance does Ken Johnson accept?

Health plans from Delta Dental of Wisconsin, Inc. and Humana list Ken 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 Ken Johnson was last updated on March 16, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.