Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1912275439 Individual Practitioner Male Practitioner

Dr. Jimmie Lee Johnson , DMD

Dentist - General Practice • Irvine, KY

Professional Overview & Biography Verified Profile Summary

Dr. Jimmie Johnson, DMD is a registered healthcare professional specializing in Dentist - General Practice in Irvine, KY. Practice services are available at 87 WILDWOOD PLACE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

87 Wildwood Place

Irvine, KY 403361312

Telephone 6067233213
Fax 6067233213
Associated Practice Facility / Clinic
🏢 Jimmie Lee Johnson Dmd Psc Facility NPI 1578605978

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Irvine, KY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 11.2 Yrs
Regional Practice Density
5 Specialists

Practicing in Irvine, KY (1699 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 KY 6163

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
60061637 (KY)

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active December 12, 2011

NPI status registered as active in NPPES database

📍
Updated Practice Location December 12, 2011

Registered at 87 WILDWOOD PLACE, IRVINE, KY 403361312 (Tel: 6067233213)

📍
Updated Business Mailing Address December 12, 2011

Registered at PO BOX 175, 87 WILDWOOD PLACE, IRVINE, KY 403360175 (Tel: 6067233213)

👤
Provider Name / Credentials Updated December 12, 2011

Recorded as JIMMIE JOHNSON, DMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 12, 2011

Dentist (License #6163 in KY)

🟢
Initial NPI Registration & Enumeration December 12, 2011

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: 1912275439
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 12, 2011
Last Update: December 12, 2011
Sole Proprietor: Yes

Mailing Address

Po Box 175, 87 Wildwood Place

Irvine, KY 403360175

Phone: 6067233213

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.