DR. KELSEY DIANE JOHNSON D.M.D.
NPI 1891179966
Dentist in Beaver Dam, KY

Active since July 17, 2015PECOS Enrolled
1317 N MAIN ST, BEAVER DAM, KY 42320(270) 274-5121(270) 274-5122 Get Directions Write a Review

NPPES record last updated: May 17, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Kelsey Diane Johnson D.m.d. NPPES

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

DR. KELSEY DIANE JOHNSON D.M.D. (NPI 1891179966) is an individual dentist in Beaver Dam, Kentucky, licensed in Kentucky (9595) and active in the NPI registry since July 2015. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1891179966
Entity TypeIndividualFemale
Primary Taxonomy122300000X
Provider Legal NameDR. KELSEY DIANE JOHNSONCredential: D.M.D.
Location Address1317 N MAIN STBeaver Dam, KY 42320-8957
Mailing AddressPo Box 535Beaver Dam, KY 42320-0535 · (270) 274-5121 · Fax (270) 274-5122
Fax(270) 274-5122
Sole ProprietorNo
Enumeration DateJuly 17, 2015
Last NPPES UpdateMay 17, 2019
NPI 1891179966 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License Licensed in KY · 9595
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.
Also ListedDentist · General PracticeTaxonomy 1223G0001X · License 9595 (KY)
1317 N MAIN ST, Beaver Dam, KY 42320

Accepted 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. Kelsey Diane Johnson D.m.d. 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 42320 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
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$66.24 typical visit price
range $16.53 – $131.99
Typical copayment $16.56 (range $4.13 – $32.99)
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.

Dentist
1317 N MAIN ST
BEAVER DAM, KY 42320

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 Kelsey Johnson's NPI number?

The NPI number for Kelsey Johnson is 1891179966. It was assigned to this individual provider in the NPPES registry on July 17, 2015.

Where is Kelsey Johnson located?

Kelsey Johnson practices at 1317 N Main St, Beaver Dam, KY 42320. The listed phone number is (270) 274-5121.

What is Kelsey Johnson's specialty?

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

Is Kelsey Johnson enrolled in Medicare?

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

What insurance does Kelsey Johnson accept?

Health plans from HRI Dental & Vision and Paramount list Kelsey 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 Kelsey Johnson was last updated on May 17, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.