DR. KINSLEY ADAIR JOHNSON DMD
NPI 1528513462
Dentist in Spartanburg, SC

Active since August 21, 2016Opted out of Medicare · through Jan 22, 2028
1585 SKYLYN DR, SPARTANBURG, SC 29307(864) 573-9255 Get Directions Write a Review

NPPES record last updated: November 15, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 15, 2016, Aug 21, 2016 (2 updates tracked since 2016).

About Dr. Kinsley Adair Johnson Dmd NPPES

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

DR. KINSLEY ADAIR JOHNSON DMD (NPI 1528513462) is an individual dentist in Spartanburg, South Carolina, licensed in South Carolina (8813) and active in the NPI registry since August 2016. She has opted out of Medicare through January 22, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1528513462
Entity TypeIndividualFemale
Primary Taxonomy122300000X
Provider Legal NameDR. KINSLEY ADAIR JOHNSONCredential: DMD
Location Address1585 SKYLYN DRSpartanburg, SC 29307-1034
Mailing Address1585 Skylyn DrSpartanburg, SC 29307-1034 · (864) 573-9255
Sole ProprietorNo
Enumeration DateAugust 21, 2016
Last NPPES UpdateNovember 15, 20162 updates tracked since enumeration
NPI 1528513462 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License Licensed in SC · 8813
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.
1585 SKYLYN DR, Spartanburg, SC 29307

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. Kinsley Adair Johnson Dmd 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 January 22, 2018 through January 22, 2028.

Opt-Out Effective DateJanuary 22, 2018
Opt-Out In Effect ThroughJanuary 22, 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 29307 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 5

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

Clinic/Center (Dental)
1585 SKYLYN DR
SPARTANBURG, SC 29307
Dentist (General Practice)
1585 SKYLYN DR
SPARTANBURG, SC 29307
Dentist (General Practice)
1585 SKYLYN DR
SPARTANBURG, SC 29307
Dentist (General Practice)
1585 SKYLYN DR
SPARTANBURG, SC 29307
Dentist (General Practice)
1585 SKYLYN DR
SPARTANBURG, SC 29307

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 Kinsley Johnson's NPI number?

The NPI number for Kinsley Johnson is 1528513462. It was assigned to this individual provider in the NPPES registry on August 21, 2016.

Where is Kinsley Johnson located?

Kinsley Johnson practices at 1585 Skylyn Dr, Spartanburg, SC 29307. The listed phone number is (864) 573-9255.

What is Kinsley Johnson's specialty?

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

Is Kinsley Johnson enrolled in Medicare?

No. Kinsley Johnson has opted out of Medicare through January 22, 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 Kinsley 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, Blue Cross and Blue Shield of Texas and Humana list Kinsley 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 Kinsley Johnson was last updated on November 15, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.