DR. ALICE JANE JOHNSON DDS
NPI 1922049741
Dentist - General Practice in Austin, TX

Active since June 10, 2006Opted out of Medicare · through Nov 1, 2026
5802B BERKMAN DR, AUSTIN, TX 78723(512) 452-2195(512) 452-1871 Get Directions Write a Review

NPPES record last updated: October 3, 2012. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Alice Jane Johnson Dds NPPES

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

DR. ALICE JANE JOHNSON DDS (NPI 1922049741) is an individual general practice provider in Austin, Texas, licensed in Texas (17654) and active in the NPI registry since June 2006. She has opted out of Medicare through November 1, 2026.

NPPES Registry Identity

NPI1922049741
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameDR. ALICE JANE JOHNSONCredential: DDS
Location Address5802B BERKMAN DRAustin, TX 78723-2625
Mailing Address7333 E Hwy 290Austin, TX 78723-1526 · (512) 452-2195 · Fax (512) 452-1871
Fax(512) 452-1871
Sole ProprietorNo
Enumeration DateJune 10, 2006
Last NPPES UpdateOctober 3, 2012
NPI 1922049741 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in TX · 17654
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.

5802B BERKMAN DR, Austin, TX 78723

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Dr. Alice Jane 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 November 1, 2018 through November 1, 2026.

Opt-Out Effective DateNovember 1, 2018
Opt-Out In Effect ThroughNovember 1, 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 78723 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
$89.03 typical visit price
range $57.88 – $174.00
Typical copayment $22.25 (range $14.47 – $43.50)
Most-billed visit code 99203
Established Patient
$71.95 typical visit price
range $18.88 – $142.23
Typical copayment $17.98 (range $4.72 – $35.55)
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.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1922049741, enumerated as an "individual" on June 10, 2006.

The provider is located at 5802B BERKMAN DR AUSTIN, TX 78723 and the phone number is (512) 452-2195.

Dentist with taxonomy code 1223G0001X and a focus in General Practice.

The provider might be accepting Accepts: Blue Cross and Blue Shield of Montana, Blue Cross. Please consult your insurance carrier or call the provider to verify.