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KIA SHERETTE MARLEY JOHNSON DMD
NPI 1205295680
Dentist in Greensboro, NC

Active since February 15, 2016PECOS Enrolled
1901 WESTRIDGE RD STE 102, GREENSBORO, NC 27410(336) 517-1132 Get Directions Write a Review

NPPES record last updated: September 8, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 8, 2023, Aug 31, 2023, Jul 21, 2022 and 4 more (7 updates tracked since 2016).

About Kia Sherette Marley Johnson Dmd NPPES

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

KIA SHERETTE MARLEY JOHNSON DMD (NPI 1205295680) is an individual dentist in Greensboro, North Carolina, licensed in North Carolina (10350) and active in the NPI registry since February 2016. She is enrolled in Medicare PECOS and maintains a secondary practice location in Winston Salem.

NPPES Registry Identity

NPI1205295680
Entity TypeIndividualFemale
Primary Taxonomy122300000X
Provider Legal NameKIA SHERETTE MARLEY JOHNSONCredential: DMD
Location Address1901 WESTRIDGE RD STE 102Greensboro, NC 27410-2425
Mailing Address2101 Peters Creek Pkwy Ste 16-19Winston Salem, NC 27127-3726 · (336) 293-8728
Phone(336) 517-1132
Sole ProprietorNo
Enumeration DateFebruary 15, 2016
Last NPPES UpdateSeptember 8, 20237 updates tracked since enumeration
NPPES CertifiedSeptember 8, 2023
✔ NPI 1205295680 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in NC · 10350
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.
1901 WESTRIDGE RD STE 102, Greensboro, NC 27410
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Secondary Practice Location 1

Location 12101 Peters Creek Pkwy Ste 16-19Winston Salem, NC 27127 · Phone (336) 293-8728 ext. 522

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee 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)

Kia Sherette Marley Johnson Dmd 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 27410 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
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.

LANE AND ASSOCIATES L DDS PA
Dentist
1901 WESTRIDGE RD STE 102
GREENSBORO, NC 27410
Guilford County (336) 517-1132

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 Kia Johnson's NPI number?

The NPI number for Kia Johnson is 1205295680. It was assigned to this individual provider in the NPPES registry on February 15, 2016.

Where is Kia Johnson located?

Kia Johnson practices at 1901 Westridge Rd Ste 102, Greensboro, NC 27410. The listed phone number is (336) 517-1132.

What is Kia Johnson's specialty?

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

Is Kia Johnson enrolled in Medicare?

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

What insurance does Kia Johnson accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee, Anthem Blue Cross and Blue Shield and BEST Life and 16 other insurers list Kia 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 Kia Johnson was last updated on September 8, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.