DR. BLAKE ALAN JOHNSON D.D.S.
NPI 1881077980
Dentist in Marietta, OH

Q: What is Blake Johnson's NPI number?

The NPI number for Blake Johnson is 1881077980. It was assigned to this individual provider in the NPPES registry on July 7, 2015.

Q: What is Blake Johnson's specialty?

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

Q: Is Blake Johnson enrolled in Medicare?

No. Blake Johnson has opted out of Medicare through October 23, 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.

Q: When was this NPI record last updated?

The NPPES record for Blake Johnson was last updated on March 30, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.

Active since July 07, 2015Opted out of Medicare · through Oct 23, 2027

124 3RD ST, MARIETTA, OH 45750(740) 373-1826(740) 373-1825 Get Directions Write a Review

NPPES record last updated: March 30, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Dr. Blake Alan Johnson D.d.s. NPPES

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

DR. BLAKE ALAN JOHNSON D.D.S. (NPI 1881077980) is an individual dentist in Marietta, Ohio, licensed in Ohio (30-024669) and active in the NPI registry since July 2015. He has opted out of Medicare through October 23, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1881077980

Entity TypeIndividualMale

Primary Taxonomy122300000X

Provider Legal NameDR. BLAKE ALAN JOHNSONCredential: D.D.S.

Location Address124 3RD STMarietta, OH 45750-3108

Mailing Address124 3rd StMarietta, OH 45750-3108 · (740) 373-1826 · Fax (740) 373-1825

Phone(740) 373-1826

Fax(740) 373-1825

Sole ProprietorNo

Enumeration DateJuly 7, 2015

Last NPPES UpdateMarch 30, 2016

✔ NPI 1881077980 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in OH · 30-024669

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.

124 3RD ST, Marietta, OH 45750

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.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

Dr. Blake Alan 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 October 23, 2015 through October 23, 2027.

Opt-Out Effective DateOctober 23, 2015

Opt-Out In Effect ThroughOctober 23, 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 45750 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

$84.72 typical visit price

range $54.34 – $166.65

Typical copayment $21.18 (range $13.58 – $41.66)

Most-billed visit code 99203

Established Patient

$68.07 typical visit price

range $17.10 – $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 4

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

DR. TIMOTHY CHARLES TILTON DDS

Dentist (General Practice)

124 3RD ST
MARIETTA, OH 45750

Washington County (740) 373-1826

DR. THOMAS WILLIAM DANFORD DDS

Dentist (General Practice)

124 3RD ST
MARIETTA, OH 45750

Washington County (740) 373-1826

DR. MATTHEW DAVID HIENER DDS

Dentist

124 3RD ST
MARIETTA, OH 45750

Washington County (740) 373-1826

RIVER CITY DENTAL GROUP, INC

Dentist (General Practice)

124 3RD ST
MARIETTA, OH 45750

Washington County (740) 373-1826

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 Blake Johnson's NPI number?

The NPI number for Blake Johnson is 1881077980. It was assigned to this individual provider in the NPPES registry on July 7, 2015.

Where is Blake Johnson located?

Blake Johnson practices at 124 3rd St, Marietta, OH 45750. The listed phone number is (740) 373-1826.

What is Blake Johnson's specialty?

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

Is Blake Johnson enrolled in Medicare?

No. Blake Johnson has opted out of Medicare through October 23, 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 Blake Johnson accept?

Health plans from BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Delta Dental of Ohio and 7 other insurers list Blake 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 Blake Johnson was last updated on March 30, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.