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DR. DAVID ROBERT JOHNSON D.D.S.
NPI 1821218074
Dentist - General Practice in Portage, MI

Active since April 30, 2007PECOS Enrolled
1617 E MILHAM AVE, PORTAGE, MI 49002(269) 381-7250(269) 381-7790 Get Directions Write a Review

NPPES record last updated: August 12, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. David Robert Johnson D.d.s. NPPES

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

DR. DAVID ROBERT JOHNSON D.D.S. (NPI 1821218074) is an individual general practice provider in Portage, Michigan, licensed in Michigan (014095) and active in the NPI registry since April 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1821218074
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. DAVID ROBERT JOHNSONCredential: D.D.S.
Location Address1617 E MILHAM AVEPortage, MI 49002-3049
Mailing Address1617 E Milham AvePortage, MI 49002-3049 · (269) 381-7250 · Fax (269) 381-7790
Phone(269) 381-7250
Fax(269) 381-7790
Sole ProprietorNo
Enumeration DateApril 30, 2007
Last NPPES UpdateAugust 12, 2020
NPPES CertifiedAugust 12, 2020
✔ NPI 1821218074 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in MI · 014095
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.
1617 E MILHAM AVE, Portage, MI 49002
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Accepted Insurance

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

Dr. David Robert Johnson D.d.s. 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 49002 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
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
Established Patient
$68.07 typical visit price
range $17.09 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
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 20

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

JOSHUA MAIKOSKI
Behavior Technician
1617 E MILHAM AVE, SUITE B
PORTAGE, MI 49002
Kalamazoo County (269) 303-5931
RIHAB MUSA
Behavior Technician
1617 E MILHAM AVE
PORTAGE, MI 49002
Kalamazoo County (269) 303-5931
BRIANNA HUFFMAN
Behavior Technician
1617 E MILHAM AVE
PORTAGE, MI 49002
Kalamazoo County (269) 303-5931
FRANCESCA ZANCHETTA
Behavior Technician
1617 E MILHAM AVE, SUITE B
PORTAGE, MI 49002
Kalamazoo County (269) 303-5931
SARAH RADKE
Behavior Technician
1617 E MILHAM AVE, SUITE B
PORTAGE, MI 49002
Kalamazoo County (269) 303-5931
KAYLIE MORRISSEY
Behavior Technician
1617 E MILHAM AVE
PORTAGE, MI 49002
Kalamazoo County (269) 303-5931
JULIE EVERTS
Behavior Technician
1617 E MILHAM AVE
PORTAGE, MI 49002
Kalamazoo County (269) 303-5931
JOHNSON FAMILY DENTISTRY
Dentist (General Practice)
1617 E MILHAM AVE
PORTAGE, MI 49002
Kalamazoo County (269) 381-7250

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 David Johnson's NPI number?

The NPI number for David Johnson is 1821218074. It was assigned to this individual provider in the NPPES registry on April 30, 2007.

Where is David Johnson located?

David Johnson practices at 1617 E Milham Ave, Portage, MI 49002. The listed phone number is (269) 381-7250.

What is David Johnson's specialty?

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

Is David Johnson enrolled in Medicare?

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

What insurance does David Johnson accept?

Health plans from Delta Dental of Michigan list David 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 David Johnson was last updated on August 12, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.