DR. MATT DAVID JOHNSON D.D.S.
NPI 1942580014
Dentist - General Practice in Aliso Viejo, CA

Active since August 22, 2011PECOS Enrolled
24502 PACIFIC PARK DR, SUITE 106, ALISO VIEJO, CA 92656(949) 831-1946(949) 643-2077 Get Directions Write a Review

NPPES record last updated: November 6, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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

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

DR. MATT DAVID JOHNSON D.D.S. (NPI 1942580014) is an individual general practice provider in Aliso Viejo, California, licensed in California (60630) and active in the NPI registry since August 2011. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1942580014
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. MATT DAVID JOHNSONCredential: D.D.S.
Location Address24502 PACIFIC PARK DR, SUITE 106Aliso Viejo, CA 92656-3033
Mailing Address24502 Pacific Park Dr, Suite 106Aliso Viejo, CA 92656-3033 · (949) 831-1946 · Fax (949) 643-2077
Fax(949) 643-2077
Sole ProprietorYes
Enumeration DateAugust 22, 2011
Last NPPES UpdateNovember 6, 2012
NPI 1942580014 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in CA · 60630
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.
24502 PACIFIC PARK DR, Aliso Viejo, CA 92656

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. Matt David 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 92656 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
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
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 15

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

Psychologist (Clinical)
24502 PACIFIC PARK DR
ALISO VIEJO, CA 92656
Social Worker (Clinical)
24502 PACIFIC PARK DR
ALISO VIEJO, CA 92656
Specialist
24502 PACIFIC PARK DR, SUITE 105
ALISO VIEJO, CA 92656
Pharmacy (Community/Retail Pharmacy)
24502 PACIFIC PARK DR
ALISO VIEJO, CA 92656
Family Medicine
24502 PACIFIC PARK DR
ALISO VIEJO, CA 92656
Dentist
24502 PACIFIC PARK DR, 106
ALISO VIEJO, CA 92656
Marriage & Family Therapist
24502 PACIFIC PARK DR
ALISO VIEJO, CA 92656
Social Worker (Clinical)
24502 PACIFIC PARK DR
ALISO VIEJO, CA 92656

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 Matt Johnson's NPI number?

The NPI number for Matt Johnson is 1942580014. It was assigned to this individual provider in the NPPES registry on August 22, 2011.

Where is Matt Johnson located?

Matt Johnson practices at 24502 Pacific Park Dr Suite 106, Aliso Viejo, CA 92656. The listed phone number is (949) 831-1946.

What is Matt Johnson's specialty?

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

Is Matt Johnson enrolled in Medicare?

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

What insurance does Matt 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 Florida Combined Life and 4 other insurers list Matt 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 Matt Johnson was last updated on November 6, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.