DR. ANDREW C JOHNSON DDS, MDS, CDT
NPI 1508296005
Dentist - Prosthodontics in Rogers, AR

Active since November 19, 2013Opted out of Medicare · through Mar 8, 2028
3333 S PINNACLE HILLS PKWY STE 140, ROGERS, AR 72758(479) 755-3000(479) 616-1914 Get Directions Write a Review

NPPES record last updated: May 17, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 17, 2021, Feb 24, 2021 (2 updates tracked since 2021).

About Dr. Andrew C Johnson Dds, Mds, Cdt NPPES

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

DR. ANDREW C JOHNSON DDS, MDS, CDT (NPI 1508296005) is an individual prosthodontics provider in Rogers, Arkansas, licensed in Arkansas (3960) and active in the NPI registry since November 2013. He has opted out of Medicare through March 8, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1508296005
Entity TypeIndividualMale
Primary Taxonomy1223P0700X
Provider Legal NameDR. ANDREW C JOHNSONCredential: DDS, MDS, CDT
Location Address3333 S PINNACLE HILLS PKWY STE 140Rogers, AR 72758-8953
Mailing Address3333 S Pinnacle Hills Pkwy Ste 140Rogers, AR 72758-8953 · (479) 755-3000
Fax(479) 616-1914
Sole ProprietorNo
Enumeration DateNovember 19, 2013
Last NPPES UpdateMay 17, 20212 updates tracked since enumeration
NPPES CertifiedMay 17, 2021
NPI 1508296005 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · ProsthodonticsDental Providers
Taxonomy Code1223P0700X
License Licensed in AR · 3960
Definition

That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes.

3333 S PINNACLE HILLS PKWY STE 140, Rogers, AR 72758

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Dr. Andrew C Johnson Dds, Mds, Cdt has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from March 8, 2016 through March 8, 2028.

Opt-Out Effective DateMarch 8, 2016
Opt-Out In Effect ThroughMarch 8, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 72758 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
$79.72 typical visit price
range $51.36 – $157.74
Typical copayment $19.93 (range $12.84 – $39.43)
Most-billed visit code 99203
Established Patient
$64.56 typical visit price
range $16.16 – $128.77
Typical copayment $16.14 (range $4.04 – $32.19)
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.

Dentist (Oral and Maxillofacial Surgery)
3333 S PINNACLE HILLS PKWY STE 140
ROGERS, AR 72758
Dentist (Oral and Maxillofacial Surgery)
3333 S PINNACLE HILLS PKWY STE 140
ROGERS, AR 72758

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 Andrew Johnson's NPI number?

The NPI number for Andrew Johnson is 1508296005. It was assigned to this individual provider in the NPPES registry on November 19, 2013.

Where is Andrew Johnson located?

Andrew Johnson practices at 3333 S Pinnacle Hills Pkwy Ste 140, Rogers, AR 72758. The listed phone number is (479) 755-3000.

What is Andrew Johnson's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Prosthodontics, with taxonomy code 1223P0700X.

Is Andrew Johnson enrolled in Medicare?

No. Andrew Johnson has opted out of Medicare through March 8, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does Andrew Johnson accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas list Andrew 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 Andrew Johnson was last updated on May 17, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.