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DR. JOHAN I KOLMODIN DMD
NPI 1497721955
Dentist in Hanahan, SC

Active since February 24, 2006PECOS Enrolled
1005 TANNER FORD BLVD, SUITE 102, HANAHAN, SC 29410(843) 797-6287(843) 797-6292 Get Directions Write a Review

NPPES record last updated: February 3, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Johan I Kolmodin Dmd NPPES

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

DR. JOHAN I KOLMODIN DMD (NPI 1497721955) is an individual dentist in Hanahan, South Carolina, licensed in South Carolina (3436) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1497721955
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDR. JOHAN I KOLMODINCredential: DMD
Location Address1005 TANNER FORD BLVD, SUITE 102Hanahan, SC 29410
Mailing Address1005 Tanner Ford Blvd, Suite 102Hanahan, SC 29410 · (843) 797-6287 · Fax (843) 797-6292
Phone(843) 797-6287
Fax(843) 797-6292
Sole ProprietorNo
Enumeration DateFebruary 24, 2006
Last NPPES UpdateFebruary 3, 2009
✔ NPI 1497721955 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in SC · 3436
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
1005 TANNER FORD BLVD, Hanahan, SC 29410
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Other Identifiers 3

Other817149United Concordia
MedicaidZ34368SC
Other963368GA · Blue Cross

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, Anthem Blue Cross and Blue Shield 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. Johan I Kolmodin Dmd 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 29410 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
$83.18 typical visit price
range $53.57 – $163.84
Typical copayment $20.79 (range $13.39 – $40.96)
Most-billed visit code 99203
Established Patient
$67.12 typical visit price
range $16.96 – $133.52
Typical copayment $16.78 (range $4.24 – $33.38)
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 2

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

DR. DANA DURLACH DMD
Dentist
1005 TANNER FORD BLVD, STE 102
HANAHAN, SC 29410
Berkeley County (843) 797-6287
DR. STEPHEN C CHADWICK DMD
Dentist
1005 TANNER FORD BLVD, SUITE 102
HANAHAN, SC 29410
Berkeley County (843) 797-6287

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 Johan Kolmodin's NPI number?

The NPI number for Johan Kolmodin is 1497721955. It was assigned to this individual provider in the NPPES registry on February 24, 2006.

Where is Johan Kolmodin located?

Johan Kolmodin practices at 1005 Tanner Ford Blvd Suite 102, Hanahan, SC 29410. The listed phone number is (843) 797-6287.

What is Johan Kolmodin's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Johan Kolmodin enrolled in Medicare?

Yes. Johan Kolmodin is registered in the Medicare PECOS enrollment system.

What insurance does Johan Kolmodin accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Anthem Blue Cross and Blue Shield, BEST Life and Blue Cross and Blue Shield of Montana and 11 other insurers list Johan Kolmodin 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 Johan Kolmodin was last updated on February 3, 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.