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JOHN ANTHONY JOHNSON D.M.D., M.D.
NPI 1639174162
Dentist - Oral and Maxillofacial Surgery in Mooresville, NC

Active since June 21, 2005PECOS Enrolled
858 BRAWLEY SCHOOL RD, STE C, MOORESVILLE, NC 28117(704) 799-3555(704) 799-3095 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About John Anthony Johnson D.m.d., M.d. NPPES

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

JOHN ANTHONY JOHNSON D.M.D., M.D. (NPI 1639174162) is an individual oral and maxillofacial surgery provider in Mooresville, North Carolina and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1639174162
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameJOHN ANTHONY JOHNSONCredential: D.M.D., M.D.
Location Address858 BRAWLEY SCHOOL RD, STE CMooresville, NC 28117-6852
Mailing Address858 Brawley School Rd, Ste CMooresville, NC 28117-6852 · (704) 799-3555 · Fax (704) 799-3095
Phone(704) 799-3555
Fax(704) 799-3095
Sole ProprietorNo
Enumeration DateJune 21, 2005
Last NPPES UpdateJuly 8, 2007
✔ NPI 1639174162 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
Definition

An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

858 BRAWLEY SCHOOL RD, Mooresville, NC 28117
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Other Identifiers 3

Medicaid89136CUNC
Medicare ID-Type Unspecified2001524ANC
Medicare UPINH76694NC

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

John Anthony Johnson D.m.d., M.d. 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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
24 services24 patients
X-ray of lower jaws, upper jaws and teeth 70355
An X-ray of lower jaws, upper jaws, and teeth is a diagnostic procedure that uses radiation to create images of these areas. This helps in identifying issues like tooth decay, gum problems, or jawbone irregularities. It's a quick, painless process and crucial for maintaining oral health.
18 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28117 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
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

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

ROWAN ORAL & FACIAL SURGERY PC
Specialist
858 BRAWLEY SCHOOL RD, SUITE C
MOORESVILLE, NC 28117
Iredell County (704) 799-3555

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 John Johnson's NPI number?

The NPI number for John Johnson is 1639174162. It was assigned to this individual provider in the NPPES registry on June 21, 2005.

Where is John Johnson located?

John Johnson practices at 858 Brawley School Rd Ste C, Mooresville, NC 28117. The listed phone number is (704) 799-3555.

What is John Johnson's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Is John Johnson enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for John Johnson was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.