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Active NPI 1609820521 Individual Practitioner Male Practitioner

Dr. John A Johnson , DDS

Dentist - General Practice • Craigmont, ID

Professional Overview & Biography Verified Profile Summary

Dr. John Johnson, DDS is a registered healthcare professional specializing in Dentist - General Practice in Craigmont, ID. Practice services are available at 420 N DIVISION ST. under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

420 N Division St.

Craigmont, ID 83523

Telephone 2089245830
Fax 2089247516
Associated Practice Facility / Clinic
🏢 Andrea S Radabaugh Dds Pllc Facility NPI 1811281397

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Craigmont, ID

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 28.3 Yrs
Regional Practice Density
1 Specialists

Practicing in Craigmont, ID (781 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 ID D1388

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
0017744400 (ID)
Commercial Insurance / Payer ID United Concordia Tdp
836142 (ID)
Commercial Insurance / Payer ID Regence Blue Shield
1000932 (ID)
Commercial Insurance / Payer ID Blue Cross
6201-8 (ID)

Career & Practice History Timeline

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

6 Historical Events
✅
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 420 N DIVISION ST., CRAIGMONT, ID 83523 (Tel: 2089245830)

📍
Updated Business Mailing Address July 08, 2007

Registered at 420 N. DIVISION ST., P.O. BOX 188, CRAIGMONT, ID 83523 (Tel: 2089245830)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as JOHN JOHNSON, DDS

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

Dentist (License #D1388 in ID)

🟢
Initial NPI Registration & Enumeration May 22, 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: 1609820521
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 22, 2006
Last Update: July 13, 2026
Sole Proprietor: No
Update or Correct Profile

Mailing Address

420 N. Division St., P.o. Box 188

Craigmont, ID 83523

Phone: 2089245830

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.