LARRY JOHNSON DDS
NPI 1356472765
Dentist - General Practice in Champaign, IL

Active since March 08, 2007
919 W KIRBY AVE, SUITE 4, CHAMPAIGN, IL 61821(217) 352-9494(217) 352-7971 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Larry Johnson Dds NPPES

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

LARRY JOHNSON DDS (NPI 1356472765) is an individual general practice provider in Champaign, Illinois and active in the NPI registry since March 2007.

NPPES Registry Identity

NPI1356472765
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameLARRY JOHNSONCredential: DDS
Location Address919 W KIRBY AVE, SUITE 4Champaign, IL 61821-5121
Mailing AddressPo Box 3487Champaign, IL 61826-3487 · (217) 352-9494 · Fax (217) 352-7971
Fax(217) 352-7971
Sole ProprietorNo
Enumeration DateMarch 8, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1356472765 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
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.
919 W KIRBY AVE, Champaign, IL 61821

Accepted Insurance

Other Providers at the Same Location NPPES 5

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

Clinic/Center (Dental)
919 W KIRBY AVE
CHAMPAIGN, IL 61821
Social Worker
919 W KIRBY AVE
CHAMPAIGN, IL 61821
Clinic/Center (Federally Qualified Health Center (FQHC))
919 W KIRBY AVE
CHAMPAIGN, IL 61821
Dentist (General Practice)
919 W KIRBY AVE
CHAMPAIGN, IL 61821
Dentist (General Practice)
919 W KIRBY AVE
CHAMPAIGN, IL 61821

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 Larry Johnson's NPI number?

The NPI number for Larry Johnson is 1356472765. It was assigned to this individual provider in the NPPES registry on March 8, 2007.

Where is Larry Johnson located?

Larry Johnson practices at 919 W Kirby Ave Suite 4, Champaign, IL 61821. The listed phone number is (217) 352-9494.

What is Larry Johnson's specialty?

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

What insurance does Larry Johnson accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas list Larry 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 Larry 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.