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LOCHE MIQUEL JOHNSON DDS
NPI 1790845659
Dentist - Oral and Maxillofacial Surgery in Sacramento, CA

Active since December 11, 2006Opted out of Medicare · through Sep 27, 2026
4350 MARCONI AVE, SUITE 200, SACRAMENTO, CA 95821(916) 483-4379(916) 483-4141 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Loche Miquel Johnson Dds NPPES

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

LOCHE MIQUEL JOHNSON DDS (NPI 1790845659) is an individual oral and maxillofacial surgery provider in Sacramento, California, licensed in California (034500) and active in the NPI registry since December 2006. He has opted out of Medicare through September 27, 2026 and remains eligible to order and refer.

NPPES Registry Identity

NPI1790845659
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameLOCHE MIQUEL JOHNSONCredential: DDS
Location Address4350 MARCONI AVE, SUITE 200Sacramento, CA 95821-4310
Mailing Address4350 Marconi Ave, Suite 200Sacramento, CA 95821-4310 · (916) 483-4379 · Fax (916) 483-4141
Phone(916) 483-4379
Fax(916) 483-4141
Sole ProprietorNo
Enumeration DateDecember 11, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1790845659 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License✔ Licensed in CA · 034500
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
4350 MARCONI AVE, Sacramento, CA 95821
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Other Identifiers 1

Medicare UPINU17955

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Loche Miquel 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 September 27, 2016 through September 27, 2026.

Opt-Out Effective DateSeptember 27, 2016
Opt-Out In Effect ThroughSeptember 27, 2026Opt-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 95821 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
$92.61 typical visit price
range $60.44 – $180.85
Typical copayment $23.15 (range $15.11 – $45.21)
Most-billed visit code 99203
Established Patient
$75.03 typical visit price
range $19.88 – $148.15
Typical copayment $18.75 (range $4.97 – $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 3

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

DR. MATTHEW DENNIS RYAN D.D.S.
Dentist (General Practice)
4350 MARCONI AVE, SUITE 300
SACRAMENTO, CA 95821
Sacramento County (916) 486-8255
MR. BRIAN CAMERON STEELE D.D.S.
Dentist (General Practice)
4350 MARCONI AVE, SUITE 100
SACRAMENTO, CA 95821
Sacramento County (916) 868-4854
DR. MARYAM SALEH DDS
Dentist (General Practice)
4350 MARCONI AVE, #100
SACRAMENTO, CA 95821
Sacramento County (916) 759-1477

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 Loche Johnson's NPI number?

The NPI number for Loche Johnson is 1790845659. It was assigned to this individual provider in the NPPES registry on December 11, 2006.

Where is Loche Johnson located?

Loche Johnson practices at 4350 Marconi Ave Suite 200, Sacramento, CA 95821. The listed phone number is (916) 483-4379.

What is Loche Johnson's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Is Loche Johnson enrolled in Medicare?

No. Loche Johnson has opted out of Medicare through September 27, 2026. 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.

When was this NPI record last updated?

The NPPES record for Loche 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.