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DR. DAVID CLARK JOHNSON DDS, MS
NPI 1194788141
Dentist - Periodontics in Fort Collins, CO

Active since April 10, 2006Opted out of Medicare · through Feb 1, 2028
1029 ROBERTSON ST, FORT COLLINS, CO 80524(970) 447-3746(970) 447-3747 Get Directions Write a Review

NPPES record last updated: July 14, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. David Clark Johnson Dds, Ms NPPES

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

DR. DAVID CLARK JOHNSON DDS, MS (NPI 1194788141) is an individual periodontics provider in Fort Collins, Colorado, licensed in Colorado (8786) and active in the NPI registry since April 2006. He has opted out of Medicare through February 1, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1194788141
Entity TypeIndividualMale
Primary Taxonomy1223P0300X
Provider Legal NameDR. DAVID CLARK JOHNSONCredential: DDS, MS
Location Address1029 ROBERTSON STFort Collins, CO 80524-3926
Mailing Address1029 Robertson StFort Collins, CO 80524-3926 · (970) 447-3746 · Fax (970) 447-3747
Phone(970) 447-3746
Fax(970) 447-3747
Sole ProprietorYes
Enumeration DateApril 10, 2006
Last NPPES UpdateJuly 14, 2025
NPPES CertifiedJuly 14, 2025
✔ NPI 1194788141 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
License✔ Licensed in CO · 8786
Definition
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
1029 ROBERTSON ST, Fort Collins, CO 80524
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, 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

ⓘ

Opted out of Medicare

Dr. David Clark Johnson Dds, Ms 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 February 1, 2018 through February 1, 2028.

Opt-Out Effective DateFebruary 1, 2018
Opt-Out In Effect ThroughFebruary 1, 2028Opt-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 80524 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
$89.43 typical visit price
range $58.06 – $174.82
Typical copayment $22.35 (range $14.51 – $43.70)
Most-billed visit code 99203
Established Patient
$72.20 typical visit price
range $18.88 – $142.79
Typical copayment $18.05 (range $4.72 – $35.69)
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 4

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

ROCKY MOUNTAIN ORAL SURGERY
Dentist (Oral and Maxillofacial Surgery)
1029 ROBERTSON ST
FORT COLLINS, CO 80524
Larimer County (970) 493-4434
WILLIAM A LANTING M.D.
Allergy & Immunology (Allergy)
1029 ROBERTSON ST
FORT COLLINS, CO 80524
Larimer County (970) 227-4611
ALLERGY & ASTHMA CENTER OF THE ROCKIES PC
Allergy & Immunology (Allergy)
1029 ROBERTSON ST
FORT COLLINS, CO 80524
Larimer County (970) 227-4611
AARON JAMES SCHMUCKER FNP
Nurse Practitioner (Family)
1029 ROBERTSON ST
FORT COLLINS, CO 80524
Larimer County (719) 384-8181

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 David Johnson's NPI number?

The NPI number for David Johnson is 1194788141. It was assigned to this individual provider in the NPPES registry on April 10, 2006.

Where is David Johnson located?

David Johnson practices at 1029 Robertson St, Fort Collins, CO 80524. The listed phone number is (970) 447-3746.

What is David Johnson's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

Is David Johnson enrolled in Medicare?

No. David Johnson has opted out of Medicare through February 1, 2028. 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 David Johnson accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Humana and 1 other insurer list David 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 David Johnson was last updated on July 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.