RUDI JOHNSON DMD
NPI 1144116898
Dentist in Richmond, VA

Active since June 17, 2025PECOS Enrolled
719 N 25TH ST, RICHMOND, VA 23223(804) 780-0840 Get Directions Write a Review

NPPES record last updated: January 10, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jan 10, 2026, Jun 17, 2025 (2 updates tracked since 2025).

About Rudi Johnson Dmd NPPES

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

RUDI JOHNSON DMD (NPI 1144116898) is an individual dentist in Richmond, Virginia, licensed in Virginia (0401419537) and active in the NPI registry since June 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1144116898
Entity TypeIndividualFemale
Primary Taxonomy122300000X
Provider Legal NameRUDI JOHNSONCredential: DMD
Location Address719 N 25TH STRichmond, VA 23223-6539
Mailing Address719 N 25th StRichmond, VA 23223-6539
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateJune 17, 2025
Last NPPES UpdateJanuary 10, 20262 updates tracked since enumeration
NPPES CertifiedJanuary 10, 2026
✔ NPI 1144116898 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in VA · 0401419537
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.
719 N 25TH ST, Richmond, VA 23223

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)

Rudi Johnson Dmd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5294222030
PECOS Enrollment IDI20251015000013
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.

Medicare Billing Reassignment

Medicare enrollment records show Rudi Johnson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Federally Qualified Health Center (FQHC)
719 NORTH 25TH STREET
Richmond, VA 23223
  • Reassigned Medicare billing, Virginia enrollment
  • 44 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 23223 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
$86.88 typical visit price
range $56.19 – $170.30
Typical copayment $21.72 (range $14.04 – $42.57)
Most-billed visit code 99203
Established Patient
$70.08 typical visit price
range $18.07 – $138.91
Typical copayment $17.52 (range $4.51 – $34.72)
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.

Dental Hygienist
719 N 25TH ST
RICHMOND, VA 23223
Internal Medicine
719 N 25TH ST
RICHMOND, VA 23223
Nurse Practitioner (Family)
719 N 25TH ST
RICHMOND, VA 23223
Social Worker
719 N 25TH ST
RICHMOND, VA 23223
Social Worker (Clinical)
719 N 25TH ST
RICHMOND, VA 23223
Pediatrics
719 N 25TH ST
RICHMOND, VA 23223
General Practice
719 N 25TH ST
RICHMOND, VA 23223
Counselor
719 N 25TH ST
RICHMOND, VA 23223

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 Rudi Johnson's NPI number?

The NPI number for Rudi Johnson is 1144116898. It was assigned to this individual provider in the NPPES registry on June 17, 2025.

Where is Rudi Johnson located?

Rudi Johnson practices at 719 N 25th St, Richmond, VA 23223. The listed phone number is (804) 780-0840.

What is Rudi Johnson's specialty?

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

Is Rudi Johnson enrolled in Medicare?

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

Which organization bills Medicare for Rudi Johnson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Rudi Johnson reassigns Medicare benefits to Vernon J Harris East End Community Health Center (Richmond, VA). 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 Rudi Johnson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Rudi Johnson accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 7 other insurers list Rudi 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 Rudi Johnson was last updated on January 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.