Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1447582184 Individual Practitioner Male Practitioner

Dr. Derrik Reid Johnson , DMD

Dentist - General Practice • Lyons, CO

Professional Overview & Biography Verified Profile Summary

Dr. Derrik Johnson, DMD is a registered healthcare professional specializing in Dentist - General Practice in Lyons, CO. Practice services are available at 303 MAIN ST BLDG C under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

303 Main St Bldg C

Lyons, CO 805405042

Telephone 3038236006
Fax 7208936058

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Lyons, CO

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

Practicing in Lyons, 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: 2023-11-27
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License CO DEN-10045

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

NUCC Taxonomy Code: 122300000X

State License CO 10045

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.

Dentist - General Practice

NUCC Taxonomy Code: 1223G0001X

State License AZ D009047

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 - General Practice

NUCC Taxonomy Code: 1223G0001X

State License NE 7498

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.

Secondary Practice Locations

1446 Hover St Ste 150

Longmont, CO 805012494

Phone: 3036849777

Practice Associates & Co-Workers

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

1 Associated Practitioners
Dr. Dennis Johnstone , DMD

Dentist - General Practice

NPI 1629129572

Doctor of Dental Medicine

Career & Practice History Timeline

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

16 Historical Events
📍
Updated Practice Location November 27, 2023

Registered at 303 MAIN ST BLDG C, LYONS, CO 805405042 (Tel: 3038236006)

📍
Updated Business Mailing Address November 27, 2023

Registered at 303 MAIN ST BLDG C, LYONS, CO 805405042 (Tel: 3038236006)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 27, 2023

Dentist (License #10045 in CO)

📍
Updated Practice Location April 04, 2023

Registered at 1446 HOVER ST STE 150, LONGMONT, CO 805012494 (Tel: 3036849777)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 04, 2023

Dentist (License #D009047 in AZ)

📍
Updated Practice Location July 10, 2019

Registered at 12100 W CENTER RD STE 110, OMAHA, NE 68144 (Tel: 4023305080)

📍
Updated Business Mailing Address July 10, 2019

Registered at 12100 W CENTER RD STE 110, OMAHA, NE 681443960 (Tel: 4023305080)

📍
Updated Practice Location July 23, 2018

Registered at 1004 LINCOLN RD STE 100, BELLEVUE, NE 68005 (Tel: 4028825853)

📍
Updated Business Mailing Address July 23, 2018

Registered at 1004 LINCOLN RD STE 100, BELLEVUE, NE 680052341 (Tel: 4028825853)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 23, 2018

Dentist (License #DEN-10045 in CO)

NPI Profile Active June 14, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location June 14, 2016

Registered at 14967 W BELL RD, SUITE 100, SURPRISE, AZ 85374 (Tel: 6235475400)

📍
Updated Business Mailing Address June 14, 2016

Registered at 12952 W VISTA PASEO DR, LITCHFIELD PARK, AZ 853405569 (Tel: 6177566789)

👤
Provider Name / Credentials Updated June 14, 2016

Recorded as DERRIK JOHNSON, D.M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 14, 2016

Dentist (License #D009047 in AZ)

🟢
Initial NPI Registration & Enumeration February 05, 2010

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: 1447582184
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 05, 2010
Last Update: November 27, 2023
Sole Proprietor: No

Mailing Address

303 Main St Bldg C

Lyons, CO 805405042

Phone: 3038236006

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.