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MATTHEW A JOHANSON D.M.D.
NPI 1194963660
Dentist - Periodontics in Northglenn, CO

Active since January 21, 2009PECOS Enrolled
11178 HURON ST, STE 100, NORTHGLENN, CO 80234(303) 457-9617(303) 457-2405 Get Directions Write a Review

NPPES record last updated: November 6, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Matthew A Johanson D.m.d. NPPES

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

MATTHEW A JOHANSON D.M.D. (NPI 1194963660) is an individual periodontics provider in Northglenn, Colorado, licensed in Colorado (10169) and active in the NPI registry since January 2009. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1194963660
Entity TypeIndividualMale
Primary Taxonomy1223P0300X
Provider Legal NameMATTHEW A JOHANSONCredential: D.M.D.
Location Address11178 HURON ST, STE 100Northglenn, CO 80234-4370
Mailing Address3215 Geneva StDenver, CO 80238-3345 · (303) 868-3064
Phone(303) 457-9617
Fax(303) 457-2405
Sole ProprietorNo
Enumeration DateJanuary 21, 2009
Last NPPES UpdateNovember 6, 2013
✔ NPI 1194963660 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
License✔ Licensed in CO · 10169
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.
11178 HURON ST, Northglenn, CO 80234
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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, BEST Life, Blue Cross and Blue Shield of Montana and more.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)

Matthew A Johanson D.m.d. 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 80234 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 2

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

MICHELLE BUTLER
Massage Therapist
11178 HURON ST
NORTHGLENN, CO 80234
Adams County (303) 434-8484
DR. VICTOR CORDERO PSY.D.
Psychologist (Clinical)
11178 HURON ST, 202
NORTHGLENN, CO 80234
Adams County (303) 455-9480

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 Matthew Johanson's NPI number?

The NPI number for Matthew Johanson is 1194963660. It was assigned to this individual provider in the NPPES registry on January 21, 2009.

Where is Matthew Johanson located?

Matthew Johanson practices at 11178 Huron St Ste 100, Northglenn, CO 80234. The listed phone number is (303) 457-9617.

What is Matthew Johanson's specialty?

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

Is Matthew Johanson enrolled in Medicare?

Yes. Matthew Johanson is registered in the Medicare PECOS enrollment system.

What insurance does Matthew Johanson 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 4 other insurers list Matthew Johanson 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 Matthew Johanson was last updated on November 6, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.