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DR. J TERRY JOHNSON DDS
NPI 1639143316
Dentist - General Practice in Council Bluffs, IA

Active since February 17, 2006PECOS Enrolled
427 E KANESVILLE BLVD, SUITE 306, COUNCIL BLUFFS, IA 51503(712) 328-1885 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. J Terry Johnson Dds NPPES

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

DR. J TERRY JOHNSON DDS (NPI 1639143316) is an individual general practice provider in Council Bluffs, Iowa, licensed in Iowa (5907) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1639143316
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. J TERRY JOHNSONCredential: DDS
Location Address427 E KANESVILLE BLVD, SUITE 306Council Bluffs, IA 51503-4403
Mailing Address427 E Kanesville Blvd, Suite 306Council Bluffs, IA 51503-4403 · (712) 328-1885
Phone(712) 328-1885
Sole ProprietorYes
Enumeration DateFebruary 17, 2006
Last NPPES UpdateJuly 9, 2007
✔ NPI 1639143316 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in IA · 5907
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.
427 E KANESVILLE BLVD, Council Bluffs, IA 51503
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Other Identifiers 1

Medicaid0119693IA

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. J Terry 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 51503 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
$81.84 typical visit price
range $52.96 – $161.40
Typical copayment $20.46 (range $13.24 – $40.35)
Most-billed visit code 99203
Established Patient
$66.36 typical visit price
range $16.91 – $131.98
Typical copayment $16.59 (range $4.22 – $32.99)
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 15

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

THURMAN PSYCHOLOGICAL LLC
Clinic/Center (Mental Health (Including Community Mental Health Center))
427 E KANESVILLE BLVD, SUITE #406
COUNCIL BLUFFS, IA 51503
Pottawattamie County (402) 715-4321
DR. THOMAS ROBERT SCHIERBROCK DDS
Dentist (General Practice)
427 E KANESVILLE BLVD, STE 200
COUNCIL BLUFFS, IA 51503
Pottawattamie County (712) 322-5318
DR. RAYMOND HAROLD EISCHEID D.D.S.
Dentist (General Practice)
427 E KANESVILLE BLVD
COUNCIL BLUFFS, IA 51503
Pottawattamie County (712) 323-8402
MR. JOHN FRANCIS COOL
Counselor (Mental Health)
427 E KANESVILLE BLVD
COUNCIL BLUFFS, IA 51503
Pottawattamie County (712) 254-9018
CAITLIN KAUFMAN
Counselor (Mental Health)
427 E KANESVILLE BLVD, SUITE 308
COUNCIL BLUFFS, IA 51503
Pottawattamie County (712) 256-5715
THOMAS R SCHIERBROCK DDS ANDREA L CORDENZANA DDS PLC
Dentist
427 E KANESVILLE BLVD, #200
CO BLUFFS, IA 51503
Pottawattamie County (712) 322-5318
WISE MIND PRACTICE LLC
Community/Behavioral Health
427 E KANESVILLE BLVD, SUITE 305
COUNCIL BLUFFS, IA 51503
Pottawattamie County (402) 999-0813
MS. JACQUELYN SUE MARCUM LMHC
Counselor (Mental Health)
427 E KANESVILLE BLVD
COUNCIL BLUFFS, IA 51503
Pottawattamie County (712) 256-9660

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 J Terry Johnson's NPI number?

The NPI number for J Terry Johnson is 1639143316. It was assigned to this individual provider in the NPPES registry on February 17, 2006.

Where is J Terry Johnson located?

J Terry Johnson practices at 427 E Kanesville Blvd Suite 306, Council Bluffs, IA 51503. The listed phone number is (712) 328-1885.

What is J Terry Johnson's specialty?

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

Is J Terry Johnson enrolled in Medicare?

Yes. J Terry Johnson is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for J Terry Johnson was last updated on July 9, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.