Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1366583387 Individual Practitioner Male Practitioner

Dr. John Bernard Johnson , DDS

Dentist • Portage, IN

Professional Overview & Biography Verified Profile Summary

Dr. John Johnson, DDS is a registered healthcare professional specializing in Dentist in Portage, IN. Practice services are available at 6215 CENTRAL AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

6215 Central Ave

Portage, IN 463683725

Telephone 2197631502
Fax 2197623100
Associated Practice Facility / Clinic
🏢 Brown Dental Group Facility NPI 1992693311

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Portage, IN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 7.1 Yrs
Regional Practice Density
13 Specialists

Practicing in Portage, IN (1682 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 Primary Specialty

NUCC Taxonomy Code: 122300000X

State License IN 12007783A

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.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID State Licence
12007783A (IN)

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 6215 CENTRAL AVE, PORTAGE, IN 463683725 (Tel: 2197631502)

📍
Updated Business Mailing Address July 08, 2007

Registered at 6215 CENTRAL AVE, PORTAGE, IN 463683725 (Tel: 2197631502)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as JOHN JOHNSON, D.D.S.

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

Dentist (License #12007783A in IN)

🟢
Initial NPI Registration & Enumeration February 11, 2007

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: 1366583387
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 11, 2007
Last Update: July 08, 2007
Sole Proprietor: Yes

Mailing Address

6215 Central Ave

Portage, IN 463683725

Phone: 2197631502

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.