RYAN DARREN JOHNSON DMD
NPI 1659991370
Dentist - Periodontics in Crestwood, KY

Q: What is Ryan Johnson's NPI number?

The NPI number for Ryan Johnson is 1659991370. It was assigned to this individual provider in the NPPES registry on April 22, 2020.

Q: What is Ryan Johnson's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

Q: When was this NPI record last updated?

The NPPES record for Ryan Johnson was last updated on July 9, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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 April 22, 2020PECOS Enrolled

6704 SUMAC RIDGE DR, CRESTWOOD, KY 40014(505) 925-4031(505) 925-4030 Get Directions Write a Review

NPPES record last updated: July 9, 2021. Verified against the NPPES registry weekly; last sync: September 27, 2026.

Record update history: Jul 9, 2021, Jul 2, 2020, Apr 22, 2020 (3 updates tracked since 2020).

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About Ryan Darren Johnson Dmd NPPES

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

RYAN DARREN JOHNSON DMD (NPI 1659991370) is an individual periodontics provider in Crestwood, Kentucky, licensed in Kentucky (10576) and active in the NPI registry since April 2020. He is enrolled in Medicare PECOS and maintains a secondary practice location in Albuquerque.

NPPES Registry Identity

NPI1659991370

Entity TypeIndividualMale

Primary Taxonomy1223P0300X

Provider Legal NameRYAN DARREN JOHNSONCredential: DMD

Location Address6704 SUMAC RIDGE DRCrestwood, KY 40014-9324

Mailing Address6704 Sumac Ridge DrCrestwood, KY 40014-9324 · (505) 925-4031 · Fax (505) 925-4030

Phone(505) 925-4031

Fax(505) 925-4030

Sole ProprietorNo

Enumeration DateApril 22, 2020

Last NPPES UpdateJuly 9, 20213 updates tracked since enumeration

NPPES CertifiedJuly 9, 2021

✔ NPI 1659991370 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyDentist · PeriodonticsDental Providers

Taxonomy Code1223P0300X

License✔ Licensed in KY · 10576

Definition

That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.

Also ListedDentistTaxonomy 122300000X · License 12103826-9923 (UT)

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License TD-00-131 (NM)

6704 SUMAC RIDGE DR, Crestwood, KY 40014

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Secondary Practice Location 1

Location 1Msc 06-3500 1 University Of New MexicoAlbuquerque, NM 87131-0001 · Phone (505) 925-4031 · Fax (505) 925-4030

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BEST Life, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ryan Darren Johnson Dmd 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 40014 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

$82.24 typical visit price

range $52.76 – $162.27

Typical copayment $20.56 (range $13.19 – $40.56)

Most-billed visit code 99203

Established Patient

$66.24 typical visit price

range $16.53 – $131.99

Typical copayment $16.56 (range $4.13 – $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.

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 Ryan Johnson's NPI number?

The NPI number for Ryan Johnson is 1659991370. It was assigned to this individual provider in the NPPES registry on April 22, 2020.

Where is Ryan Johnson located?

Ryan Johnson practices at 6704 Sumac Ridge Dr, Crestwood, KY 40014. The listed phone number is (505) 925-4031.

What is Ryan Johnson's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

Is Ryan Johnson enrolled in Medicare?

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

What insurance does Ryan Johnson accept?

Health plans from BEST Life, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 9 other insurers list Ryan 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 Ryan Johnson was last updated on July 9, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.