Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1831291855 Individual Practitioner Male Practitioner

Dr. Collis Johnson , DDS

Dentist - General Practice • Aurora, CO

Professional Overview & Biography Verified Profile Summary

Dr. Collis Johnson, DDS is a registered healthcare professional specializing in Dentist - General Practice in Aurora, CO. Practice services are available at 13065 E 17TH AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

13065 E 17th Ave

Aurora, CO 800452532

Telephone 3037247073
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Aurora, CO

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 18.5 Yrs
Regional Practice Density
201 Specialists

Practicing in Aurora, CO (2613 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

CMS Verified: 2021-09-01
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License CO 04176

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.

Dentist - Endodontics

NUCC Taxonomy Code: 1223E0200X

State License CO CO01476

The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
02014769 (CO)

Practice Associates & Co-Workers

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

40 Associated Practitioners
Dr. Amy Mason , DDS

Dentist - Prosthodontics

NPI 1033211586

Doctor of Dental Surgery

NPI 1033411335

Registered Dental Hygienist, Master of Science

Dr. Troy Chow , DDS

Student in an Organized Health Care Education/Training Program

NPI 1043055775

Doctor of Dental Surgery

Dr. Jie Liu , DDS, PhD

Dentist - Orthodontics and Dentofacial Orthopedics

NPI 1053045138

Doctor of Dental Surgery, Doctor of Philosophy (Ph.D.)

NPI 1073838702

Doctor of Dental Medicine

Linda Ballard , RDH

Dental Hygienist

NPI 1083986962

Registered Dental Hygienist

Career & Practice History Timeline

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

7 Historical Events
📍
Updated Practice Location September 01, 2021

Registered at 13065 E 17TH AVE, AURORA, CO 800452532 (Tel: 3037247073)

NPI Profile Active December 05, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location December 05, 2016

Registered at 1756 VINE STREET, DENVER, CO 80206 (Tel: 3033221177)

📍
Updated Business Mailing Address December 05, 2016

Registered at 1756 VINE STREET, DENVER, CO 80206 (Tel: 3033221177)

👤
Provider Name / Credentials Updated December 05, 2016

Recorded as COLLIS JOHNSON, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 05, 2016

Dentist (License #CO01476 in CO)

🟢
Initial NPI Registration & Enumeration September 01, 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: 1831291855
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 01, 2006
Last Update: September 01, 2021
Sole Proprietor: Yes

Mailing Address

1756 Vine Street

Denver, CO 80206

Phone: 3033221177

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.