DR. JAMES KEITH JOHNSON D.D.S.
NPI 1770607616
Dentist - General Practice in Petersburg, VA
About Dr. James Keith Johnson D.d.s. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. JAMES KEITH JOHNSON D.D.S. (NPI 1770607616) is an individual general practice provider in Petersburg, Virginia, licensed in Virginia (05461) and active in the NPI registry since March 2007. He has opted out of Medicare through January 30, 2027 and remains eligible to order and refer.
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Opted out of Medicare
Dr. James Keith Johnson D.d.s. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 30, 2017 through January 30, 2027.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 23803 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
NORTH DINWIDDIE, VA 23803
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 James Johnson's NPI number?
The NPI number for James Johnson is 1770607616. It was assigned to this individual provider in the NPPES registry on March 17, 2007.
Where is James Johnson located?
James Johnson practices at 6204 Duncan Rd, Petersburg, VA 23803. The listed phone number is (804) 861-6464.
What is James Johnson's specialty?
The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.
Is James Johnson enrolled in Medicare?
No. James Johnson has opted out of Medicare through January 30, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.
What insurance does James Johnson accept?
Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas list James 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 James Johnson was last updated on July 8, 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.
# Dr. James Keith Johnson, D.D.S. · NPI 1770607616
General Practice provider in Petersburg, Virginia. Individual provider, active in the CMS NPPES registry since March 17, 2007.
## Identity
- **NPI:** 1770607616 (Entity type: Individual)
- **Enumerated:** March 17, 2007
- **Primary specialty:** Dentist - General Practice · taxonomy 1223G0001X
- **State license:** 05461 (Virginia)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 6204 DUNCAN RD, Petersburg, VA 23803-7442
- **Phone:** (804) 861-6464
## Medicare
- **Medicare:** Opted out of Medicare (opt-out affidavit on file, in effect through January 30, 2027); services are provided under private contract
## Record status
- **NPPES last updated:** July 8, 2007
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Source: [NPI Profile](https://npiprofile.com/npi/1770607616) · Data from the CMS NPPES public registry.