Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1528066404 Individual Practitioner Male Practitioner

Dr. Charles William Johnson , DDS

Dentist - General Practice • Greeley, CO

Professional Overview & Biography Verified Profile Summary

Dr. Charles Johnson, DDS is a registered healthcare professional specializing in Dentist - General Practice in Greeley, CO. Practice services are available at 1600 23RD AVE STE 200 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1600 23rd Ave Ste 200

Greeley, CO 806346071

Telephone 9703534329
Fax 9703530526
Associated Practice Facility / Clinic
🏢 Colorado Dhca Greeley, Pllc Facility NPI 1467597021

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Greeley, CO

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

Practicing in Greeley, 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

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License CO 7049

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

Commercial Insurance / Payer ID Dental License Number
7049 (CO)

Practice Associates & Co-Workers

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

3 Associated Practitioners
NPI 1366879728

Doctor of Dental Medicine

Dr. Randy Hatch , DDS

Dentist - General Practice

NPI 1609942705

Doctor of Dental Surgery

Jennifer Kala , RDH

Dental Hygienist

NPI 1861022162

Registered Dental Hygienist

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active July 07, 2011

NPI status registered as active in NPPES database

📍
Updated Practice Location July 07, 2011

Registered at 1600 23RD AVE STE 200, GREELEY, CO 806346071 (Tel: 9703534329)

📍
Updated Business Mailing Address July 07, 2011

Registered at 1600 23RD AVE STE 200, GREELEY, CO 806346071 (Tel: 9703534329)

👤
Provider Name / Credentials Updated July 07, 2011

Recorded as CHARLES JOHNSON, D.D.S.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 07, 2011

Dentist (License #7049 in CO)

🟢
Initial NPI Registration & Enumeration July 13, 2005

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: 1528066404
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 13, 2005
Last Update: March 07, 2023
Sole Proprietor: No

Mailing Address

1600 23rd Ave Ste 200

Greeley, CO 806346071

Phone: 9703534329

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.