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HAROLD CORTEZ JOHNSON DDS
NPI 1790980167
Dentist in Warren, MI

Active since June 18, 2007PECOS Enrolled
21761 RYAN RD, WARREN, MI 48091(586) 758-3620(586) 758-8279 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Harold Cortez Johnson Dds NPPES

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

HAROLD CORTEZ JOHNSON DDS (NPI 1790980167) is an individual dentist in Warren, Michigan, licensed in Michigan (013040) and active in the NPI registry since June 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1790980167
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameHAROLD CORTEZ JOHNSONCredential: DDS
Location Address21761 RYAN RDWarren, MI 48091
Mailing AddressPo Box 759Troy, MI 48099-0759 · (586) 758-3620 · Fax (586) 758-8279
Phone(586) 758-3620
Fax(586) 758-8279
Sole ProprietorNo
Enumeration DateJune 18, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1790980167 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in MI · 013040
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.
21761 RYAN RD, Warren, MI 48091
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Delta Dental of Michigan, DENCAP Dental Plans, Inc.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)

Harold Cortez Johnson Dds 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 48091 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
$90.76 typical visit price
range $58.04 – $177.36
Typical copayment $22.69 (range $14.51 – $44.34)
Most-billed visit code 99203
Established Patient
$72.38 typical visit price
range $18.32 – $143.49
Typical copayment $18.09 (range $4.58 – $35.87)
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.

SUNSHINE DENTAL CENTER PC
Dentist
21761 RYAN RD
WARREN, MI 48091
Macomb County (586) 758-3620

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 Harold Johnson's NPI number?

The NPI number for Harold Johnson is 1790980167. It was assigned to this individual provider in the NPPES registry on June 18, 2007.

Where is Harold Johnson located?

Harold Johnson practices at 21761 Ryan Rd, Warren, MI 48091. The listed phone number is (586) 758-3620.

What is Harold Johnson's specialty?

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

Is Harold Johnson enrolled in Medicare?

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

What insurance does Harold Johnson accept?

Health plans from DENCAP Dental Plans, Inc and Delta Dental of Michigan list Harold 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 Harold 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.