DR. MARC ERNEST JOHNSON DDS
NPI 1154414084
Dentist in Centralia, WA

Active since October 02, 2006PECOS Enrolled
1407 KRESKY AVE, CENTRALIA, WA 98531(360) 736-9397(360) 736-9397 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Marc Ernest Johnson Dds NPPES

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

DR. MARC ERNEST JOHNSON DDS (NPI 1154414084) is an individual dentist in Centralia, Washington, licensed in Washington (DE00009235) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1154414084
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDR. MARC ERNEST JOHNSONCredential: DDS
Location Address1407 KRESKY AVECentralia, WA 98531-8912
Mailing Address1407 Kresky AveCentralia, WA 98531-8912 · (360) 736-9397 · Fax (360) 736-9397
Fax(360) 736-9397
Sole ProprietorYes
Enumeration DateOctober 2, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1154414084 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License Licensed in WA · DE00009235
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.

1407 KRESKY AVE, Centralia, WA 98531

Accepted 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. Marc Ernest 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 98531 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
$88.29 typical visit price
range $57.27 – $172.80
Typical copayment $22.07 (range $14.31 – $43.20)
Most-billed visit code 99203
Established Patient
$71.29 typical visit price
range $18.56 – $141.11
Typical copayment $17.82 (range $4.64 – $35.27)
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

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

Dentist
1407 KRESKY AVE
CENTRALIA, WA 98531

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 Marc Johnson's NPI number?

The NPI number for Marc Johnson is 1154414084. It was assigned to this individual provider in the NPPES registry on October 2, 2006.

Where is Marc Johnson located?

Marc Johnson practices at 1407 Kresky Ave, Centralia, WA 98531. The listed phone number is (360) 736-9397.

What is Marc Johnson's specialty?

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

Is Marc Johnson enrolled in Medicare?

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

What insurance does Marc Johnson accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Humana list Marc 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 Marc Johnson was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.