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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

KRISTOPHER ALLAN JOHNSON DDS
NPI 1790736825
Dentist - General Practice in Mukilteo, WA

Active since May 13, 2006Opted out of Medicare · through Dec 1, 2027
4407 106TH ST SW, SUITE A, MUKILTEO, WA 98275(425) 348-8484(425) 348-6419 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kristopher Allan Johnson Dds NPPES

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

KRISTOPHER ALLAN JOHNSON DDS (NPI 1790736825) is an individual general practice provider in Mukilteo, Washington, licensed in Washington (DE00006286) and active in the NPI registry since May 2006. He has opted out of Medicare through December 1, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1790736825
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameKRISTOPHER ALLAN JOHNSONCredential: DDS
Location Address4407 106TH ST SW, SUITE AMukilteo, WA 98275-4750
Mailing Address4407 106th St Sw, Suite AMukilteo, WA 98275-4750 · (425) 348-8484 · Fax (425) 348-6419
Phone(425) 348-8484
Fax(425) 348-6419
Sole ProprietorNo
Enumeration DateMay 13, 2006
Last NPPES UpdateJuly 13, 2026
✔ NPI 1790736825 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in WA · DE00006286
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.
4407 106TH ST SW, Mukilteo, WA 98275
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

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Opted out of Medicare

Kristopher Allan Johnson Dds 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 December 1, 2015 through December 1, 2027.

Opt-Out Effective DateDecember 1, 2015
Opt-Out In Effect ThroughDecember 1, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98275 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
$88.29 typical visit price
range $57.27 – $172.80
Typical copayment $22.07 (range $14.31 – $43.20)
Most-billed visit code 99203
Established Patient
$71.29 typical visit price
range $18.56 – $141.11
Typical copayment $17.82 (range $4.64 – $35.27)
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.

HART/ISDITH PLLC
Dentist (Oral and Maxillofacial Surgery)
4407 106TH ST SW, SUITE B
MUKILTEO, WA 98275
Snohomish County (425) 353-1009

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 Kristopher Johnson's NPI number?

The NPI number for Kristopher Johnson is 1790736825. It was assigned to this individual provider in the NPPES registry on May 13, 2006.

Where is Kristopher Johnson located?

Kristopher Johnson practices at 4407 106th St SW Suite A, Mukilteo, WA 98275. The listed phone number is (425) 348-8484.

What is Kristopher Johnson's specialty?

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

Is Kristopher Johnson enrolled in Medicare?

No. Kristopher Johnson has opted out of Medicare through December 1, 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 Kristopher Johnson accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Kristopher 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 Kristopher Johnson was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 29 days 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.