Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1093384687 Individual Practitioner Male Practitioner

Cole Johnson

Dentist - Endodontics • Marion, IN

Professional Overview & Biography Verified Profile Summary

Cole Johnson is a registered healthcare professional specializing in Dentist - Endodontics in Marion, IN. Practice services are available at 2017 S WESTERN AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2017 S Western Ave

Marion, IN 469532824

Telephone 3179102089

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - Endodontics in Marion, IN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
1 Specialists

Practicing in Marion, IN (94 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: 2026-06-30
Dentist - Endodontics Primary Specialty

NUCC Taxonomy Code: 1223E0200X

State License IN 12013639A

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.

Practice Associates & Co-Workers

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

2 Associated Practitioners
NPI 1134448608

Doctor of Dental Surgery

NPI 1639915655

Doctor of Dental Surgery

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) June 30, 2026

Dentist (License #12013639A in IN)

NPI Profile Active June 18, 2021

NPI status registered as active in NPPES database

📍
Updated Practice Location June 18, 2021

Registered at 2017 S WESTERN AVE, MARION, IN 469532824 (Tel: 3179102089)

📍
Updated Business Mailing Address June 18, 2021

Registered at 2234 WOODCREEK DR, AVON, IN 461238096 (Tel: 3179102089)

👤
Provider Name / Credentials Updated June 18, 2021

Recorded as COLE JOHNSON

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 18, 2021

Dentist (License #12013639A in IN)

🟢
Initial NPI Registration & Enumeration June 18, 2021

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Cole Johnson. Be the first to share your experience!

Sign in to leave a review for Cole Johnson

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1093384687
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 18, 2021
Last Update: June 30, 2026
Sole Proprietor: No

Mailing Address

2234 Woodcreek Dr

Avon, IN 461238096

Phone: 3179102089

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.