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DR. KELLY WADE JOHNSON DDS
NPI 1467431932
Dentist - General Practice in Lansing, MI

Active since January 12, 2006PECOS Enrolled
2815 S PENNSYLVANIA AVE, #203, LANSING, MI 48910(517) 272-4150 Get Directions Write a Review

NPPES record last updated: September 10, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Kelly Wade Johnson Dds NPPES

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

DR. KELLY WADE JOHNSON DDS (NPI 1467431932) is an individual general practice provider in Lansing, Michigan, licensed in Michigan (2901018145) and active in the NPI registry since January 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1467431932
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameDR. KELLY WADE JOHNSONCredential: DDS
Location Address2815 S PENNSYLVANIA AVE, #203Lansing, MI 48910-3495
Mailing Address5303 S Cedar StLansing, MI 48911-3800 · (517) 272-4150
Phone(517) 272-4150
Sole ProprietorNo
Enumeration DateJanuary 12, 2006
Last NPPES UpdateSeptember 10, 2015
✔ NPI 1467431932 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in MI · 2901018145
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.

2815 S PENNSYLVANIA AVE, Lansing, MI 48910
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Other Identifiers 4

Other1385419MI · United Concordia
Medicaid4530810MI
Other161661900MI · Blue Cross Blue Shield
Other161661900MI · Delta Dental

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Delta Dental of Michigan.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. Kelly Wade 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 48910 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
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
Established Patient
$68.07 typical visit price
range $17.09 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
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 20

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

JOHN WESLEY MESKO MD
Orthopaedic Surgery (Adult Reconstructive Orthopaedic Surgery)
2815 S PENNSYLVANIA AVE, SUITE 204
LANSING, MI 48910
Ingham County (517) 267-0200
CAPITAL CITY PAIN MANAGEMENT, PC
Pain Medicine (Pain Medicine)
2815 S PENNSYLVANIA AVE, SUITE 101
LANSING, MI 48910
Ingham County (517) 975-6625
DANIEL R MESKO DO PC
Orthopaedic Surgery (Adult Reconstructive Orthopaedic Surgery)
2815 S PENNSYLVANIA AVE, SUITE 204
LANSING, MI 48910
Ingham County (517) 267-0200
LAURIE ARMELAGOS
Occupational Therapist
2815 S PENNSYLVANIA AVE
LANSING, MI 48910
Ingham County (517) 975-9900
ROBYN D MESSING DO PLLC
Family Medicine
2815 S PENNSYLVANIA AVE, SUITE #107
LANSING, MI 48910
Ingham County (517) 372-2253
PAUL F GUALTIER PAC
Physician Assistant
2815 S PENNSYLVANIA AVE, STE 204
LANSING, MI 48910
Ingham County (517) 267-0200
CHARLES J TAUNT JR. DO
Orthopaedic Surgery (Adult Reconstructive Orthopaedic Surgery)
2815 S PENNSYLVANIA AVE, STE 204
LANSING, MI 48910
Ingham County (517) 267-0200
PATRICK H NOUD MD PLC
Orthopaedic Surgery (Sports Medicine)
2815 S PENNSYLVANIA AVE, SUITE 204
LANSING, MI 48910
Ingham County (517) 267-0200

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 Kelly Johnson's NPI number?

The NPI number for Kelly Johnson is 1467431932. It was assigned to this individual provider in the NPPES registry on January 12, 2006.

Where is Kelly Johnson located?

Kelly Johnson practices at 2815 S Pennsylvania Ave #203, Lansing, MI 48910. The listed phone number is (517) 272-4150.

What is Kelly Johnson's specialty?

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

Is Kelly Johnson enrolled in Medicare?

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

What insurance does Kelly Johnson accept?

Health plans from Delta Dental of Michigan list Kelly 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 Kelly Johnson was last updated on September 10, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.