DR. CARL KENNETH JOHNSON DDS
NPI 1952494676
Dentist - Oral and Maxillofacial Pathology in Renton, WA
About Dr. Carl Kenneth Johnson Dds NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. CARL KENNETH JOHNSON DDS (NPI 1952494676) is an individual oral and maxillofacial pathology provider in Renton, Washington, licensed in Washington (6475) and active in the NPI registry since October 2006. He has opted out of Medicare through December 22, 2026.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
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. Carl Kenneth 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 December 22, 2022 through December 22, 2026.
Other Providers at the Same Location NPPES 18
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
RENTON, WA 98055
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 Carl Johnson's NPI number?
The NPI number for Carl Johnson is 1952494676. It was assigned to this individual provider in the NPPES registry on October 2, 2006.
Where is Carl Johnson located?
Carl Johnson practices at 601 S Carr Rd #300, Renton, WA 98055. The listed phone number is (425) 277-1844.
What is Carl Johnson's specialty?
The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Pathology, with taxonomy code 1223P0106X.
Is Carl Johnson enrolled in Medicare?
No. Carl Johnson has opted out of Medicare through December 22, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.
What insurance does Carl Johnson accept?
Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 6 other insurers list Carl 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 Carl Johnson was last updated on October 7, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.
# Dr. Carl Kenneth Johnson, DDS · NPI 1952494676
Oral and Maxillofacial Pathology provider in Renton, Washington. Individual provider, active in the CMS NPPES registry since October 2, 2006.
## Identity
- **NPI:** 1952494676 (Entity type: Individual)
- **Enumerated:** October 2, 2006
- **Primary specialty:** Dentist - Oral and Maxillofacial Pathology · taxonomy 1223P0106X
- **State license:** 6475 (Washington)
- **Sole proprietor:** No
## Practice location
- **Address:** 601 S CARR RD, #300, Renton, WA 98055-5840
- **Phone:** (425) 277-1844 · **Fax:** (425) 271-6766
## Medicare
- **Medicare:** Opted out of Medicare (opt-out affidavit on file, in effect through December 22, 2026); services are provided under private contract
## Record status
- **NPPES last updated:** October 7, 2016
- **Other identifiers:** Medicare UPIN 911646137 (WA)
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Source: [NPI Profile](https://npiprofile.com/npi/1952494676) · Data from the CMS NPPES public registry.