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DR. JACOB LYNN JOHNSON DMD
NPI 1982120895
Military Health Care Provider in Sheppard Afb, TX

Active since August 22, 2017
BLDG 1200, 149G W HART ST, SHEPPARD AFB, TX 76311(940) 676-4412 Get Directions Write a Review

NPPES record last updated: August 20, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 20, 2023, Apr 17, 2019, Aug 22, 2017 (3 updates tracked since 2017).

About Dr. Jacob Lynn Johnson Dmd NPPES

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

DR. JACOB LYNN JOHNSON DMD (NPI 1982120895) is an individual military health care provider provider in Sheppard Afb, Texas, licensed in Texas (34858) and active in the NPI registry since August 2017. He maintains a secondary practice location in Bellevue.

NPPES Registry Identity

NPI1982120895
Entity TypeIndividualMale
Primary Taxonomy171000000X
Provider Legal NameDR. JACOB LYNN JOHNSONCredential: DMD
Location AddressBLDG 1200, 149G W HART STSheppard Afb, TX 76311-7631
Mailing Address5021 Taft Blvd Apt 3302Wichita Falls, TX 76308-5391 · (701) 339-1678
Phone(940) 676-4412
Sole ProprietorYes
Enumeration DateAugust 22, 2017
Last NPPES UpdateAugust 20, 20233 updates tracked since enumeration
NPPES CertifiedAugust 20, 2023
✔ NPI 1982120895 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyMilitary Health Care ProviderOther Service Providers
Taxonomy Code171000000X
License✔ Licensed in TX · 34858
Definition
Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.
Also ListedDentistTaxonomy 122300000X · License 2017020610 (MO)
Also ListedDentist · General PracticeTaxonomy 1223G0001X · License 34858 (TX)
BLDG 1200, 149G W HART ST, Sheppard Afb, TX 76311
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Secondary Practice Location 1

Location 12501 Capehart RdBellevue, NE 68123 · Phone (402) 232-0617

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and more.Insurance ›

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 Jacob Johnson's NPI number?

The NPI number for Jacob Johnson is 1982120895. It was assigned to this individual provider in the NPPES registry on August 22, 2017.

Where is Jacob Johnson located?

Jacob Johnson practices at Bldg 1200, 149G W Hart St, Sheppard Afb, TX 76311. The listed phone number is (940) 676-4412.

What is Jacob Johnson's specialty?

The primary specialty registered for this NPI is Military Health Care Provider with taxonomy code 171000000X.

What insurance does Jacob Johnson accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas, HRI Dental & Vision and Humana and 2 other insurers list Jacob 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 Jacob Johnson was last updated on August 20, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.