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JOHNNY DONALD TICE DDS
NPI 1124541164
Dentist in Hobbs, NM

Active since July 21, 2017PECOS Enrolled
1710 W JOE HARVEY BLVD STE B, HOBBS, NM 88240(888) 988-4066(847) 496-4850 Get Directions Write a Review

NPPES record last updated: October 10, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Johnny Donald Tice Dds NPPES

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

JOHNNY DONALD TICE DDS (NPI 1124541164) is an individual dentist in Hobbs, New Mexico, licensed in New Mexico (DD4760) and active in the NPI registry since July 2017. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1124541164
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameJOHNNY DONALD TICECredential: DDS
Location Address1710 W JOE HARVEY BLVD STE BHobbs, NM 88240-0821
Mailing Address2050 E Algonquin Rd Ste 610Schaumburg, IL 60173-4166 · (888) 988-4066 · Fax (847) 496-4850
Phone(888) 988-4066
Fax(847) 496-4850
Sole ProprietorNo
Enumeration DateJuly 21, 2017
Last NPPES UpdateOctober 10, 2017
✔ NPI 1124541164 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in NM · DD4760
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.
1710 W JOE HARVEY BLVD STE B, Hobbs, NM 88240
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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)

Johnny Donald Tice 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 88240 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
$84.79 typical visit price
range $54.26 – $166.80
Typical copayment $21.19 (range $13.56 – $41.70)
Most-billed visit code 99203
Established Patient
$68.00 typical visit price
range $17.00 – $135.35
Typical copayment $17.00 (range $4.25 – $33.83)
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 9

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

DR. OSAHON CLEMENT IZEVBIGIE DDS
Dentist
1710 W JOE HARVEY BLVD STE B
HOBBS, NM 88240
Lea County (575) 738-0335
SHIMA MOHSEN-POUR
Dentist
1710 W JOE HARVEY BLVD STE B
HOBBS, NM 88240
Lea County (888) 988-4066
FAN DING
Dentist (General Practice)
1710 W JOE HARVEY BLVD STE B
HOBBS, NM 88240
Lea County (575) 738-0335
DR. CARLINE ISME DMD
Dentist (General Practice)
1710 W JOE HARVEY BLVD STE B
HOBBS, NM 88240
Lea County (888) 988-4066
AAKANSHA PATEL
Dentist (General Practice)
1710 W JOE HARVEY BLVD STE B
HOBBS, NM 88240
Lea County (888) 988-4066
SHANKY MOHANLAL BALCHANDANI DDS
Dentist
1710 W JOE HARVEY BLVD STE B
HOBBS, NM 88240
Lea County (575) 738-0335
JAMES WILLIAM SKOUMAL DDS
Dentist (General Practice)
1710 W JOE HARVEY BLVD STE B
HOBBS, NM 88240
Lea County (888) 988-4066
DR. TUAN ANH NGUYEN DDS
Dentist (General Practice)
1710 W JOE HARVEY BLVD STE B
HOBBS, NM 88240
Lea County (888) 988-4066

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 Johnny Tice's NPI number?

The NPI number for Johnny Tice is 1124541164. It was assigned to this individual provider in the NPPES registry on July 21, 2017.

Where is Johnny Tice located?

Johnny Tice practices at 1710 W Joe Harvey Blvd Ste B, Hobbs, NM 88240. The listed phone number is (888) 988-4066.

What is Johnny Tice's specialty?

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

Is Johnny Tice enrolled in Medicare?

Yes. Johnny Tice is registered in the Medicare PECOS enrollment system.

What insurance does Johnny Tice 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 Dominion National and 6 other insurers list Johnny Tice 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 Johnny Tice was last updated on October 10, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.