DR. MIMI V. JOHNSON D.D.S.
NPI 1265656912
Dentist - General Practice in Bellwood, IL
About Dr. Mimi V. Johnson D.d.s. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. MIMI V. JOHNSON D.D.S. (NPI 1265656912) is an individual general practice provider in Bellwood, Illinois and active in the NPI registry since April 2007. She has opted out of Medicare through June 2, 2028 and remains eligible to order and refer.
NPPES Registry Identity
Specialties & Licenses
Accepted 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. Mimi V. Johnson D.d.s. 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 June 2, 2022 through June 2, 2028.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 60104 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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 Mimi Johnson's NPI number?
The NPI number for Mimi Johnson is 1265656912. It was assigned to this individual provider in the NPPES registry on April 12, 2007.
Where is Mimi Johnson located?
Mimi Johnson practices at 235 Mannheim Rd, Bellwood, IL 60104. The listed phone number is (708) 544-5656.
What is Mimi Johnson's specialty?
The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.
Is Mimi Johnson enrolled in Medicare?
No. Mimi Johnson has opted out of Medicare through June 2, 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 Mimi Johnson accept?
Health plans from Humana list Mimi 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 Mimi Johnson was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.
# Dr. Mimi V. Johnson, D.D.S. · NPI 1265656912
General Practice provider in Bellwood, Illinois. Individual provider, active in the CMS NPPES registry since April 12, 2007.
## Identity
- **NPI:** 1265656912 (Entity type: Individual)
- **Enumerated:** April 12, 2007
- **Primary specialty:** Dentist - General Practice · taxonomy 1223G0001X
- **Sole proprietor:** Yes
## Practice location
- **Address:** 235 MANNHEIM RD, Bellwood, IL 60104-1339
- **Phone:** (708) 544-5656
## Medicare
- **Medicare:** Opted out of Medicare (opt-out affidavit on file, in effect through June 2, 2028); services are provided under private contract
## Record status
- **NPPES last updated:** July 8, 2007
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Source: [NPI Profile](https://npiprofile.com/npi/1265656912) · Data from the CMS NPPES public registry.