TRACY R. JOHNSON, DDS, PS
NPI 1376718957
Dentist - Oral and Maxillofacial Surgery in Port Orchard, WA
About Tracy R. Johnson, Dds, Ps NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TRACY R. JOHNSON, DDS, PS (NPI 1376718957) is a healthcare organization registered as an oral and maxillofacial surgery in Port Orchard, Washington and active in the NPI registry since April 2008. The organization lists Tracy R Johnson, President/owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Tracy R. Johnson, Dds, Ps is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Tracy R. Johnson, DDS, Ps, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (2)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Tracy R. Johnson, Dds, Ps's NPI number?
The NPI number for Tracy R. Johnson, Dds, Ps is 1376718957. It was assigned to this organization in the NPPES registry on April 24, 2008.
Where is Tracy R. Johnson, Dds, Ps located?
Tracy R. Johnson, Dds, Ps is located at 2040 Mitchell Rd SE, Port Orchard, WA 98366. The listed phone number is (360) 895-8841.
What is Tracy R. Johnson, Dds, Ps's specialty?
The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.
Is Tracy R. Johnson, Dds, Ps enrolled in Medicare?
Yes. Tracy R. Johnson, Dds, Ps is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Tracy R. Johnson, Dds, Ps?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Oral Surgery, reassign their Medicare billing to Tracy R. Johnson, Dds, Ps. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Tracy R. Johnson, Dds, Ps accept?
Health plans from UnitedHealthcare list Tracy R. Johnson, Dds, Ps 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 Tracy R. Johnson, Dds, Ps was last updated on April 24, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.
# Tracy R. Johnson, Dds, Ps · NPI 1376718957
Oral and Maxillofacial Surgery organization in Port Orchard, Washington. Organization record, active in the CMS NPPES registry since April 24, 2008.
## Identity
- **NPI:** 1376718957 (Entity type: Organization)
- **Enumerated:** April 24, 2008
- **Primary specialty:** Dentist - Oral and Maxillofacial Surgery · taxonomy 1223S0112X
- **Organization subpart:** No
- **Authorized official:** Tracy Johnson, PRESIDENT/OWNER
## Practice location
- **Address:** 2040 MITCHELL RD SE, Port Orchard, WA 98366-4401
- **Phone:** (360) 895-8841 · **Fax:** (360) 895-9350
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2 clinicians (Oral Surgery) reassign Medicare billing to this organization (form CMS-855R); 1 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 24, 2008
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Source: [NPI Profile](https://npiprofile.com/npi/1376718957) · Data from the CMS NPPES public registry.