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DR. MARY BETH JOHNSON DDS
NPI 1437292570
Dentist - General Practice in Polacca, AZ

Active since February 15, 2007PECOS Enrolled
HWY 264, MP 388, POLACCA, AZ 86042(928) 737-6162 Get Directions Write a Review

NPPES record last updated: June 26, 2009. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Mary Beth Johnson Dds NPPES

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

DR. MARY BETH JOHNSON DDS (NPI 1437292570) is an individual general practice provider in Polacca, Arizona, licensed in Ohio (30020478) and active in the NPI registry since February 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1437292570
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameDR. MARY BETH JOHNSONCredential: DDS
Location AddressHWY 264, MP 388Polacca, AZ 86042
Mailing AddressHopi Health Care Center Keams Canyon S.u., Po Box 4000Polacca, AZ 86042
Phone(928) 737-6162
Sole ProprietorNo
Enumeration DateFebruary 15, 2007
Last NPPES UpdateJune 26, 2009
✔ NPI 1437292570 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 OH · 30020478
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 ListedDentist · Pediatric DentistryTaxonomy 1223P0221X · License 30-020478 (OH)
HWY 264, MP 388, Polacca, AZ 86042
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Other Identifiers 1

Medicaid420456AZ

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Arizona.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. Mary Beth Johnson Dds 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 86042 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
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$69.24 typical visit price
range $17.72 – $137.41
Typical copayment $17.31 (range $4.43 – $34.35)
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 6

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

EUGENE NODESTINE
Nurse's Aide
HWY 264, MP 388, HOPI HEALTH CARE CENTER
POLACCA, AZ 86042
Navajo County (928) 737-6387
MR. ERIC ESPINOSA B.S.N
Registered Nurse (Emergency)
HWY 264, MP 388
POLACCA, AZ 86042
Navajo County (928) 737-6000
DR. SUSAN LIPPOLD M.D.
Internal Medicine
HWY 264, MP 388, HOPI HEALTH CARE CENTER
POLACCA, AZ 86042
Navajo County (928) 737-6000
MISS ERICA YVONNE SMITH R.D.
Dietitian, Registered
HWY 264, MP 388
POLACCA, AZ 86042
Navajo County (928) 737-6201
MARILYN MASAYESVA RN
Registered Nurse (Medical-Surgical)
HWY 264, MP 388
POLACCA, AZ 86042
Navajo County (928) 737-6000
MS. ANDREA LYNN JOSHEVAMA M.ED.
Counselor (Addiction (Substance Use Disorder))
HWY 264, MP 388, HOPI BEHAVIORAL HEALTH SERVICES
POLACCA, AZ 86042
Navajo County (928) 737-6300

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 Mary Johnson's NPI number?

The NPI number for Mary Johnson is 1437292570. It was assigned to this individual provider in the NPPES registry on February 15, 2007.

Where is Mary Johnson located?

Mary Johnson practices at Hwy 264, Mp 388, Polacca, AZ 86042. The listed phone number is (928) 737-6162.

What is Mary Johnson's specialty?

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

Is Mary Johnson enrolled in Medicare?

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

What insurance does Mary Johnson accept?

Health plans from Blue Cross Blue Shield of Arizona list Mary 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 Mary Johnson was last updated on June 26, 2009. 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.