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DR. MANTIQUE JOHNSON D.D.S
NPI 1417192964
Dentist - General Practice in Atlanta, GA

Active since December 12, 2008PECOS Enrolled
75 MARIETTA ST NW, SUITE 100, ATLANTA, GA 30303(404) 577-0868 Get Directions Write a Review

NPPES record last updated: December 12, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Mantique Johnson D.d.s NPPES

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

DR. MANTIQUE JOHNSON D.D.S (NPI 1417192964) is an individual general practice provider in Atlanta, Georgia, licensed in Georgia (DN013821) and active in the NPI registry since December 2008. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1417192964
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. MANTIQUE JOHNSONCredential: D.D.S
Location Address75 MARIETTA ST NW, SUITE 100Atlanta, GA 30303-2883
Mailing Address75 Marietta St Nw, Suite 100Atlanta, GA 30303-2883 · (804) 720-6797
Phone(404) 577-0868
Sole ProprietorNo
Enumeration DateDecember 12, 2008
✔ NPI 1417192964 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in GA · DN013821
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.
75 MARIETTA ST NW, Atlanta, GA 30303
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Accepted Insurance

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

Dr. Mantique Johnson D.d.s 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 30303 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
$88.06 typical visit price
range $56.84 – $172.43
Typical copayment $22.01 (range $14.21 – $43.10)
Most-billed visit code 99203
Established Patient
$70.85 typical visit price
range $18.22 – $140.40
Typical copayment $17.71 (range $4.55 – $35.10)
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 5

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

STANLEY G CARTER DDS
Dentist (General Practice)
75 MARIETTA ST NW, SUITE 100
ATLANTA, GA 30303
Fulton County (404) 577-0868
DR. CHALASANI VENKATADRI DMD
Dentist (General Practice)
75 MARIETTA ST NW, SUITE 100
ATLANTA, GA 30303
Fulton County (404) 577-0868
C S DENTAL
Dentist (General Practice)
75 MARIETTA ST NW, SUITE 100
ATLANTA, GA 30303
Fulton County (404) 577-0868
DR. SAMUEL ERIC POINDEXTER D.M.D.
Dentist (General Practice)
75 MARIETTA ST NW, STE. 100
ATLANTA, GA 30303
Fulton County (404) 577-0868
DR. ELLISON SMITH DDS
Dentist (General Practice)
75 MARIETTA ST NW, SUITE 100
ATLANTA, GA 30303
Fulton County (404) 577-0868

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 Mantique Johnson's NPI number?

The NPI number for Mantique Johnson is 1417192964. It was assigned to this individual provider in the NPPES registry on December 12, 2008.

Where is Mantique Johnson located?

Mantique Johnson practices at 75 Marietta St NW Suite 100, Atlanta, GA 30303. The listed phone number is (404) 577-0868.

What is Mantique Johnson's specialty?

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

Is Mantique Johnson enrolled in Medicare?

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

What insurance does Mantique Johnson accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 11 other insurers list Mantique 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 Mantique Johnson was last updated on December 12, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.