HALEY NICOLE JOHNSON
NPI 1750080933
Dentist in San Antonio, TX

Q: What is Haley Johnson's NPI number?

The NPI number for Haley Johnson is 1750080933. It was assigned to this individual provider in the NPPES registry on February 27, 2023.

Q: What is Haley Johnson's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Haley Johnson was last updated on December 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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 February 27, 2023PECOS Enrolled

9234 N LOOP 1604 W STE 121&123, SAN ANTONIO, TX 78249(210) 681-1121 Get Directions Write a Review

NPPES record last updated: December 28, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 28, 2025, Jul 1, 2025, Feb 27, 2023 (3 updates tracked since 2023).

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About Haley Nicole Johnson NPPES

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

HALEY NICOLE JOHNSON (NPI 1750080933) is an individual dentist in San Antonio, Texas, licensed in Texas (41519) and active in the NPI registry since February 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1750080933

Entity TypeIndividualFemale

Primary Taxonomy122300000X

Provider Legal NameHALEY NICOLE JOHNSON

Location Address9234 N LOOP 1604 W STE 121&123San Antonio, TX 78249-2983

Mailing Address9234 N Loop 1604 W Ste 121&123San Antonio, TX 78249-2983

Phone(210) 681-1121

Sole ProprietorNo

Enumeration DateFebruary 27, 2023

Last NPPES UpdateDecember 28, 20253 updates tracked since enumeration

NPPES CertifiedDecember 28, 2025

✔ NPI 1750080933 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in TX · 41519

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.

9234 N LOOP 1604 W STE 121&123, San Antonio, TX 78249

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections 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)

Haley Nicole Johnson 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 78249 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

$84.92 typical visit price

range $54.84 – $166.88

Typical copayment $21.23 (range $13.71 – $41.72)

Most-billed visit code 99203

Established Patient

$68.55 typical visit price

range $17.52 – $136.11

Typical copayment $17.13 (range $4.38 – $34.02)

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 6

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

CATHERINE GARZA

Dentist (General Practice)