DR. DONALD J JOHNSON DMD
NPI 1164516753
Dentist - Oral and Maxillofacial Surgery in Phoenix, AZ

Active since October 03, 2006Opted out of Medicare · through Nov 10, 2027
4025 W BELL RD, SUITE 9, PHOENIX, AZ 85053(602) 978-2890(602) 978-5794 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. Donald J Johnson Dmd NPPES

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

DR. DONALD J JOHNSON DMD (NPI 1164516753) is an individual oral and maxillofacial surgery provider in Phoenix, Arizona, licensed in Arizona (D5583) and active in the NPI registry since October 2006. He has opted out of Medicare through November 10, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1164516753
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameDR. DONALD J JOHNSONCredential: DMD
Location Address4025 W BELL RD, SUITE 9Phoenix, AZ 85053
Mailing Address4025 W Bell Rd, Suite 9Phoenix, AZ 85053 · (602) 978-2890 · Fax (602) 978-5794
Fax(602) 978-5794
Sole ProprietorYes
Enumeration DateOctober 3, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1164516753 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License Licensed in AZ · D5583
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
4025 W BELL RD, Phoenix, AZ 85053

Other Identifiers 1

Medicare UPINU92757AZ

Accepted Insurance

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. Donald J Johnson Dmd 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 November 10, 2015 through November 10, 2027.

Opt-Out Effective DateNovember 10, 2015
Opt-Out In Effect ThroughNovember 10, 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 85053 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
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$69.24 typical visit price
range $17.72 – $137.41
Typical copayment $17.31 (range $4.43 – $34.35)
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.

Counselor (Addiction (Substance Use Disorder))
4025 W BELL RD
PHOENIX, AZ 85053
Community/Behavioral Health
4025 W BELL RD
PHOENIX, AZ 85053
Optometrist
4025 W BELL RD, SUITE 10
PHOENIX, AZ 85053
Dentist
4025 W BELL RD, SUITE 4
PHOENIX, AZ 85053
Dentist (General Practice)
4025 W BELL RD, #21
PHOENIX, AZ 85053
Dentist (Orthodontics and Dentofacial Orthopedics)
4025 W BELL RD, SUITE #5
PHOENIX, AZ 85053
Dentist (Oral and Maxillofacial Surgery)
4025 W BELL RD, SUITE #9
PHOENIX, AZ 85053
Dentist (General Practice)
4025 W BELL RD, SUITE 14
PHOENIX, AZ 85053

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 Donald Johnson's NPI number?

The NPI number for Donald Johnson is 1164516753. It was assigned to this individual provider in the NPPES registry on October 3, 2006.

Where is Donald Johnson located?

Donald Johnson practices at 4025 W Bell Rd Suite 9, Phoenix, AZ 85053. The listed phone number is (602) 978-2890.

What is Donald Johnson's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Is Donald Johnson enrolled in Medicare?

No. Donald Johnson has opted out of Medicare through November 10, 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.

What insurance does Donald Johnson accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 10 other insurers list Donald 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 Donald 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.