RYAN JOHNSON DMD
NPI 1245801349
Dentist - General Practice in Brookings, OR

Active since July 08, 2021PECOS Enrolled
97829 SHOPPING CENTER AVE, BROOKINGS, OR 97415(541) 813-7000 Get Directions Write a Review

NPPES record last updated: July 8, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ryan Johnson Dmd NPPES

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

RYAN JOHNSON DMD (NPI 1245801349) is an individual general practice provider in Brookings, Oregon, licensed in Oregon (D11467) and active in the NPI registry since July 2021. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1245801349
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameRYAN JOHNSONCredential: DMD
Location Address97829 SHOPPING CENTER AVEBrookings, OR 97415-9135
Mailing Address442 Sw Umatilla Ave Ste 200Redmond, OR 97756-7039 · (888) 468-0022
Sole ProprietorNo
Enumeration DateJuly 8, 2021
NPPES CertifiedJuly 8, 2021
NPI 1245801349 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in OR · D11467
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Also ListedDentistTaxonomy 122300000X · License D11467 (OR)
97829 SHOPPING CENTER AVE, Brookings, OR 97415

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)

Ryan 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 97415 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
$84.82 typical visit price
range $54.96 – $166.64
Typical copayment $21.20 (range $13.74 – $41.66)
Most-billed visit code 99203
Established Patient
$68.64 typical visit price
range $17.68 – $136.19
Typical copayment $17.16 (range $4.42 – $34.04)
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 3

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

Counselor (Mental Health)
97829 SHOPPING CENTER AVE
HARBOR, OR 97415
Dental Hygienist
97829 SHOPPING CENTER AVE
BROOKINGS, OR 97415
Chiropractor
97829 SHOPPING CENTER AVE, STE E
BROOKINGS, OR 97415

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 Ryan Johnson's NPI number?

The NPI number for Ryan Johnson is 1245801349. It was assigned to this individual provider in the NPPES registry on July 8, 2021.

Where is Ryan Johnson located?

Ryan Johnson practices at 97829 Shopping Center Ave, Brookings, OR 97415. The listed phone number is (541) 813-7000.

What is Ryan Johnson's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Ryan Johnson enrolled in Medicare?

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

What insurance does Ryan Johnson 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 11 other insurers list Ryan 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 Ryan Johnson was last updated on July 8, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.