Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1164546305 Individual Practitioner Female Practitioner

Dr. Mary Carol Johnson , DDS

Dentist • Des Moines, IA

Professional Overview & Biography Verified Profile Summary

Dr. Mary Johnson, DDS is a registered healthcare professional specializing in Dentist in Des Moines, IA. Practice services are available at 711 HIGH ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

711 High St

Des Moines, IA 503920001

Telephone 5153622676
Fax 5156136452

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Des Moines, IA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 21.0 Yrs
Regional Practice Density
52 Specialists

Practicing in Des Moines, IA (760 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 IA 6856

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

Medicaid State Provider ID
0209320 (IA)
Commercial Insurance / Payer ID Delta Dental Provider #
20932 (IA)

Practice Associates & Co-Workers

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

1 Associated Practitioners
Dr. Raymond Webster , MD

Preventive Medicine - Aerospace Medicine

NPI 1962529784

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active September 29, 2009

NPI status registered as active in NPPES database

📍
Updated Practice Location September 29, 2009

Registered at 711 HIGH ST, DES MOINES, IA 503920001 (Tel: 5153622676)

📍
Updated Business Mailing Address September 29, 2009

Registered at 711 HIGH ST, DES MOINES, IA 503920001 (Tel: 5153622676)

👤
Provider Name / Credentials Updated September 29, 2009

Recorded as MARY JOHNSON, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 29, 2009

Dentist (License #6856 in IA)

🟢
Initial NPI Registration & Enumeration March 16, 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: 1164546305
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 16, 2007
Last Update: September 29, 2009
Sole Proprietor: Yes

Mailing Address

711 High St

Des Moines, IA 503920001

Phone: 5153622676

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.