Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1104916824 Individual Practitioner Female Practitioner

Dr. Sonja Johnson , DDS

Dentist - General Practice • Phoenix, AZ

Professional Overview & Biography Verified Profile Summary

Dr. Sonja Johnson, DDS is a registered healthcare professional specializing in Dentist - General Practice in Phoenix, AZ. Practice services are available at 635 E BASELINE RD under active NPI credentials.

Frequently performed procedures and clinical services include adm sarscov2 100mcg/0.5ml2nd, adm sarscov2 50mcg/0.25mlbst, intramuscular administration of single severe acute respiratory syndrome coronavirus 2 (covid-19) vaccine, mrna-lnp, spike protein, preservative free, 30 mcg/0.3ml dosage, diluent reconstituted; second dose. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

635 E Baseline Rd

Phoenix, AZ 850426551

Telephone 6022437277
Fax 6022431235
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Phoenix, AZ

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 26.2 Yrs
State Avg: 16.4 Yrs
Regional Practice Density
483 Specialists

Practicing in Phoenix, AZ (2600 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
3.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2021)
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
0012A Adm sarscov2 100mcg/0.5ml2nd
47 47 $40.00 $38.78
0064A Adm sarscov2 50mcg/0.25mlbst
43 43 $40.00 $38.78
0002A Intramuscular administration of single severe acute respiratory syndrome coronavirus 2 (covid-19) vaccine, mrna-lnp, spike protein, preservative free, 30 mcg/0.3ml dosage, diluent reconstituted; second dose
17 16 $40.00 $38.78
0003A Adm sarscov2 30mcg/0.3ml 3rd
15 15 $40.00 $38.78
0001A Intramuscular administration of single severe acute respiratory syndrome coronavirus 2 (covid-19) vaccine, mrna-lnp, spike protein, preservative free, 30 mcg/0.3ml dosage, diluent reconstituted; first dose
12 12 $40.00 $38.78

Medical Specialties & State Licenses

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License AZ D04696

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
368771 (AZ)

Practice Associates & Co-Workers

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

40 Associated Practitioners
Jennie Altman , RD

Dietitian, Registered

NPI 1003267485

Registered Dietitian

Dr. Jessica Giles , DMD

Dentist - General Practice

NPI 1003275546

Doctor of Dental Medicine

NPI 1003846395

Doctor of Pharmacy (Pharm.D.)

Dr. Emma Keltgen , DNP, FNP-C

Nurse Practitioner - Family

NPI 1013340264

Doctor of Nursing Practice, Family Nurse Practitioner (Certified)

Laura Lee , RD

Dietitian, Registered

NPI 1013366590

Registered Dietitian

NPI 1013970656

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

7 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 19, 2018

Dentist (License #D04696 in AZ)

NPI Profile Active October 17, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location October 17, 2016

Registered at 635 E BASELINE RD, PHOENIX, AZ 850426551 (Tel: 6022437277)

📍
Updated Business Mailing Address October 17, 2016

Registered at 635 E BASELINE RD, PHOENIX, AZ 850426551 (Tel: 6022437277)

👤
Provider Name / Credentials Updated October 17, 2016

Recorded as SONJA JOHNSON, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 17, 2016

Dentist (License #D4696 in AZ)

🟢
Initial NPI Registration & Enumeration October 13, 2006

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: 1104916824
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 13, 2006
Last Update: December 19, 2018
Sole Proprietor: No

Mailing Address

635 E Baseline Rd

Phoenix, AZ 850426551

Phone: 6022437277

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.