1. Home
  2. Directory
  3. Texas
  4. Lubbock
  5. Dentist
  6. NPI Profile

HEENAN JOHNSON III DDS
NPI 1952375446
Dentist in Lubbock, TX

Active since February 14, 2006PECOS Enrolled
2204 ITHACA AVE, LUBBOCK, TX 79410(806) 793-4438 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Heenan Johnson Iii Dds NPPES

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

HEENAN JOHNSON III DDS (NPI 1952375446) is an individual dentist in Lubbock, Texas, licensed in Texas (15727) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1952375446
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameHEENAN JOHNSON IIICredential: DDS
Location Address2204 ITHACA AVELubbock, TX 79410-3206
Mailing Address2204 Ithaca Ave, Suite BLubbock, TX 79410-1300 · (806) 793-4438
Phone(806) 793-4438
Sole ProprietorNo
Enumeration DateFebruary 14, 2006
Last NPPES UpdateJuly 9, 2007
✔ NPI 1952375446 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in TX · 15727
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.
2204 ITHACA AVE, Lubbock, TX 79410
Open in Google Maps ↗

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

✔

Enrolled in Medicare (PECOS)

Heenan Johnson Iii Dds 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 79410 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$68.55 typical visit price
range $17.52 – $136.11
Typical copayment $17.13 (range $4.38 – $34.02)
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 3

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

MARK A. BARINQUE, DPM,PA
Podiatrist
2204 ITHACA AVE, SUITE C
LUBBOCK, TX 79410
Lubbock County (806) 793-6811
DR. MARK ANDREW BARINQUE DPM
Podiatrist
2204 ITHACA AVE, STE C
LUBBOCK, TX 79410
Lubbock County (806) 793-6811
PODIATRIC MEDICAL PARTNERS OF TEXAS, PA
Podiatrist
2204 ITHACA AVE, SUITE C
LUBBOCK, TX 79410
Lubbock County (806) 793-6811

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 Heenan Johnson's NPI number?

The NPI number for Heenan Johnson is 1952375446. It was assigned to this individual provider in the NPPES registry on February 14, 2006.

Where is Heenan Johnson located?

Heenan Johnson practices at 2204 Ithaca Ave, Lubbock, TX 79410. The listed phone number is (806) 793-4438.

What is Heenan Johnson's specialty?

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

Is Heenan Johnson enrolled in Medicare?

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

What insurance does Heenan 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 PPO and 9 other insurers list Heenan 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 Heenan Johnson was last updated on July 9, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.