Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1639143316 Individual Practitioner Male Practitioner

Dr. J Terry Johnson , DDS

Dentist - General Practice • Council Bluffs, IA

Professional Overview & Biography Verified Profile Summary

Dr. J Terry Johnson, DDS is a registered healthcare professional specializing in Dentist - General Practice in Council Bluffs, IA. Practice services are available at 427 E KANESVILLE BLVD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

427 E Kanesville Blvd
Suite 306

Council Bluffs, IA 515034403

Telephone 7123281885
Associated Practice Facility / Clinic
🏢 Outreach Chiropractic Facility NPI 1861517633

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Council Bluffs, IA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 9.0 Yrs
Regional Practice Density
31 Specialists

Practicing in Council Bluffs, IA (1303 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 IA 5907

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
0119693 (IA)

Practice Associates & Co-Workers

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

10 Associated Practitioners
Dr. Thomas Schierbrock , DDS

Dentist - General Practice

NPI 1124018106

Doctor of Dental Surgery

Dr. Raymond Eischeid , DDS

Dentist - General Practice

NPI 1144300328

Doctor of Dental Surgery

John Cool

Counselor - Mental Health

NPI 1295300036
Caitlin Kaufman

Counselor - Mental Health

NPI 1396103362
Jacquelyn Marcum , LMHC

Counselor - Mental Health

NPI 1407289713

Licensed Mental Health Counselor

Morgan Kupsinel , LISW, LIMHP, IADC

Counselor - Mental Health

NPI 1629023312

Licensed Independent Social Worker, LIMHP, IADC

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active July 09, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 09, 2007

Registered at 427 E KANESVILLE BLVD, SUITE 306, COUNCIL BLUFFS, IA 515034403 (Tel: 7123281885)

📍
Updated Business Mailing Address July 09, 2007

Registered at 427 E KANESVILLE BLVD, SUITE 306, COUNCIL BLUFFS, IA 515034403 (Tel: 7123281885)

👤
Provider Name / Credentials Updated July 09, 2007

Recorded as J TERRY JOHNSON, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 09, 2007

Dentist (License #5907 in IA)

🟢
Initial NPI Registration & Enumeration February 17, 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: 1639143316
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 17, 2006
Last Update: July 09, 2007
Sole Proprietor: Yes

Mailing Address

427 E Kanesville Blvd, Suite 306

Council Bluffs, IA 515034403

Phone: 7123281885

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.