DR. GARY ROBERT JOHNSON D.D.S.
NPI 1649294927
Dentist - General Practice in Berkeley, IL

Q: What is Gary Johnson's NPI number?

The NPI number for Gary Johnson is 1649294927. It was assigned to this individual provider in the NPPES registry on July 27, 2006.

Q: What is Gary Johnson's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Gary Johnson was last updated on October 26, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.

Active since July 27, 2006PECOS Enrolled

5646 SAINT CHARLES RD, SUITE C, BERKELEY, IL 60163(708) 544-7474 Get Directions Write a Review

NPPES record last updated: October 26, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Gary Robert Johnson D.d.s. NPPES

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

DR. GARY ROBERT JOHNSON D.D.S. (NPI 1649294927) is an individual general practice provider in Berkeley, Illinois, licensed in Illinois (019017208) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1649294927

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameDR. GARY ROBERT JOHNSONCredential: D.D.S.

Location Address5646 SAINT CHARLES RD, SUITE CBerkeley, IL 60163-1148

Mailing Address5646 Saint Charles Rd, Suite CBerkeley, IL 60163-1148 · (708) 544-7474

Phone(708) 544-7474

Sole ProprietorNo

Enumeration DateJuly 27, 2006

Last NPPES UpdateOctober 26, 2015

✔ NPI 1649294927 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

Licenses✔ Licensed in IL · 019017208✔ Licensed in IL · 319006856

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.

5646 SAINT CHARLES RD, Berkeley, IL 60163

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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. Gary Robert 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 60163 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

$94.06 typical visit price

range $60.08 – $183.39

Typical copayment $23.51 (range $15.02 – $45.84)

Most-billed visit code 99203

Established Patient

$74.80 typical visit price

range $18.97 – $148.12

Typical copayment $18.70 (range $4.74 – $37.03)

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 4

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

DR. MICHAEL ANTHONY ESPOSITO D.D.S.

Dentist (General Practice)

5646 SAINT CHARLES RD, SUITE C
BERKELEY, IL 60163

Cook County (708) 544-9773

CLINICAL RESEARCH INSTITUTE, INC.

Voluntary or Charitable

5646 SAINT CHARLES RD, SUITE C
BERKELEY, IL 60163

Cook County (630) 544-7475

GARY R. JOHNSON, D.D.S., P.C.

Clinic/Center (Dental)

5646 SAINT CHARLES RD, SUITE C
BERKELEY, IL 60163

Cook County (708) 544-7474

MICHAEL A. ESPOSITO DDS, P.C.

Dentist (General Practice)

5646 SAINT CHARLES RD, SUITE C
BERKELEY, IL 60163

Cook County (708) 544-9773

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 Gary Johnson's NPI number?

The NPI number for Gary Johnson is 1649294927. It was assigned to this individual provider in the NPPES registry on July 27, 2006.

Where is Gary Johnson located?

Gary Johnson practices at 5646 Saint Charles Rd Suite C, Berkeley, IL 60163. The listed phone number is (708) 544-7474.

What is Gary Johnson's specialty?

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

Is Gary Johnson enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Gary Johnson was last updated on October 26, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.