Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

DR. RICHARD LEE JOHNSON DDS, MD
NPI 1174509665
Oral & Maxillofacial Surgery in Sheppard Afb, TX

Active since December 16, 2005PECOS Enrolled
82 MEDICAL GROUP/CREDENTIALS, 149 HART STREET, SHEPPARD AFB, TX 76311(940) 676-2003 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 13, 2026, Sep 11, 2025 (2 updates tracked since 2025).

About Dr. Richard Lee Johnson Dds, Md NPPES

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

DR. RICHARD LEE JOHNSON DDS, MD (NPI 1174509665) is an individual oral & maxillofacial surgery provider in Sheppard Afb, Texas, licensed in Tennessee (MD0000035690) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1174509665
Entity TypeIndividualMale
Primary Taxonomy204E00000X
Provider Legal NameDR. RICHARD LEE JOHNSONCredential: DDS, MD
Location Address82 MEDICAL GROUP/CREDENTIALS, 149 HART STREETSheppard Afb, TX 76311-3482
Mailing Address5110 Crown Ridge DrWichita Falls, TX 76310-1768 · (940) 689-8896
Sole ProprietorNo
Enumeration DateDecember 16, 2005
Last NPPES UpdateJuly 13, 20262 updates tracked since enumeration
NPI 1174509665 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyOral & Maxillofacial SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code204E00000X
License Licensed in TN · MD0000035690
Definition

Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery.

Also ListedDentist · Oral and Maxillofacial SurgeryTaxonomy 1223S0112X · License DS0000005348 (TN)
82 MEDICAL GROUP/CREDENTIALS, Sheppard Afb, TX 76311

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. Richard Lee Johnson Dds, Md 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.

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 (Prosthodontics)
82 MEDICAL GROUP/CREDENTIALS, 149 HART STREET
SHEPPARD AFB, TX 76311

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 Richard Johnson's NPI number?

The NPI number for Richard Johnson is 1174509665. It was assigned to this individual provider in the NPPES registry on December 16, 2005.

Where is Richard Johnson located?

Richard Johnson practices at 82 Medical Group/Credentials 149 Hart Street, Sheppard Afb, TX 76311. The listed phone number is (940) 676-2003.

What is Richard Johnson's specialty?

The primary specialty registered for this NPI is Oral & Maxillofacial Surgery with taxonomy code 204E00000X.

Is Richard Johnson enrolled in Medicare?

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

What insurance does Richard 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 Richard 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 Richard Johnson was last updated on July 13, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.