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Deactivated NPI 1407993959 Deactivated / Inactive NPI Male Practitioner

Dr. Kirk Johnson , DDS

Dentist • Anchorage, AK

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Kirk Johnson has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date January 31, 2007
NPI Deactivation Date January 24, 2023
Total Practice Duration ~16 Years of Practice (2007 – 2023)

Professional Overview & Biography Verified Profile Summary

Dr. Kirk Johnson, DDS was a registered Dentist practicing in Anchorage, AK. Throughout an active medical career spanning 16 years, Dr. Johnson provided care at the practice location at 1000 OMALLEY RD STE 101 until profile deactivation on 2023-01-24.

Practice Location & Contact Primary Location

Practice Address

1000 Omalley Rd Ste 101

Anchorage, AK 995153083

Telephone 9073490022
Fax 9073490023
Associated Practice Facility / Clinic
🏢 Dental Excellence, Llc Facility NPI 1366966954

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Anchorage, AK

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 24.0 Yrs
State Avg: 19.7 Yrs
Regional Practice Density
152 Specialists

Practicing in Anchorage, AK (376 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License AK AA667

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
Dr. Kendall Skinner , DMD

Dentist - General Practice

NPI 1033366760

Doctor of Dental Medicine

Dr. Michael Fox , DDS

Dentist - General Practice

NPI 1477539559

Doctor of Dental Surgery

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated January 24, 2023

Record deactivated on January 24, 2023

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 1000 OMALLEY RD STE 101, ANCHORAGE, AK 995153083 (Tel: 9073490022)

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Updated Business Mailing Address July 08, 2007

Registered at 1000 E O MALLEY SUITE 101, ANCHORAGE, AK 99515 (Tel: 9073490022)

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Provider Name / Credentials Updated July 08, 2007

Recorded as KIRK JOHNSON, D.D.S

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Dentist (License #AA667 in AK)

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Initial NPI Registration & Enumeration January 31, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1407993959
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 31, 2007
Last Update: July 08, 2007
Deactivation Date: January 24, 2023

Mailing Address

1000 E O Malley Suite 101

Anchorage, AK 99515

Phone: 9073490022

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.