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DR. JACLYN NICOLE JOHNSON D.D.S.
NPI 1508248022
Dentist in Kingwood, WV

Active since June 20, 2015PECOS Enrolled
202 TUNNELTON ST, STE 214, KINGWOOD, WV 26537(304) 329-1989 Get Directions Write a Review

NPPES record last updated: June 20, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Jaclyn Nicole Johnson D.d.s. NPPES

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

DR. JACLYN NICOLE JOHNSON D.D.S. (NPI 1508248022) is an individual dentist in Kingwood, West Virginia, licensed in West Virginia (4171) and active in the NPI registry since June 2015. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1508248022
Entity TypeIndividualFemale
Primary Taxonomy122300000X
Provider Legal NameDR. JACLYN NICOLE JOHNSONCredential: D.D.S.
Location Address202 TUNNELTON ST, STE 214Kingwood, WV 26537-1452
Mailing Address202 Tunnelton St, Ste 214Kingwood, WV 26537-1452 · (304) 329-1989
Phone(304) 329-1989
Sole ProprietorNo
Enumeration DateJune 20, 2015
✔ NPI 1508248022 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in WV · 4171
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.
202 TUNNELTON ST, Kingwood, WV 26537
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Combined Life, Highmark Blue Cross Blue Shield West Virginia.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. Jaclyn Nicole 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 26537 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
$83.49 typical visit price
range $53.20 – $164.59
Typical copayment $20.87 (range $13.30 – $41.14)
Most-billed visit code 99203
Established Patient
$66.84 typical visit price
range $16.47 – $133.29
Typical copayment $16.71 (range $4.11 – $33.32)
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 3

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

EVERETT & HOWELL DDS
Dentist (General Practice)
202 TUNNELTON ST, SUITE 214
KINGWOOD, WV 26537
Preston County (304) 329-1989
JESSICA STATON BS
Social Worker
202 TUNNELTON ST
KINGWOOD, WV 26537
Preston County (304) 296-1731
AARON COLE
Case Manager/Care Coordinator
202 TUNNELTON ST
KINGWOOD, WV 26537
Preston County (304) 329-1059

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 Jaclyn Johnson's NPI number?

The NPI number for Jaclyn Johnson is 1508248022. It was assigned to this individual provider in the NPPES registry on June 20, 2015.

Where is Jaclyn Johnson located?

Jaclyn Johnson practices at 202 Tunnelton St Ste 214, Kingwood, WV 26537. The listed phone number is (304) 329-1989.

What is Jaclyn Johnson's specialty?

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

Is Jaclyn Johnson enrolled in Medicare?

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

What insurance does Jaclyn Johnson accept?

Health plans from Florida Combined Life and Highmark Blue Cross Blue Shield West Virginia list Jaclyn 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 Jaclyn Johnson was last updated on June 20, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.