Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1598555310 Individual Practitioner Male Practitioner

Derrick Johnson

Dentist - General Practice • Columbia, MD

Professional Overview & Biography Verified Profile Summary

Derrick Johnson is a registered healthcare professional specializing in Dentist - General Practice in Columbia, MD. Practice services are available at 5410 LYNX LN #290 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

5410 Lynx Ln #290

Columbia, MD 21044

Telephone 4109109716
Associated Practice Facility / Clinic
🏢 Dynamic Dental Care, Llc Facility NPI 1922458769

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Columbia, MD

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 14.2 Yrs
Regional Practice Density
73 Specialists

Practicing in Columbia, MD (2555 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: 2025-05-07
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License MD 18589

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.

Practice Associates & Co-Workers

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

3 Associated Practitioners
Jieun Choi , RDH

Dental Hygienist

NPI 1376341263

Registered Dental Hygienist

Dr. Ryan Mccormack , DDS

Dentist - General Practice

NPI 1487252698

Doctor of Dental Surgery

Dr. Jeremy Way , DDS

Dentist - General Practice

NPI 1578229464

Doctor of Dental Surgery

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active May 07, 2025

NPI status registered as active in NPPES database

📍
Updated Practice Location May 07, 2025

Registered at 5410 LYNX LN #290, COLUMBIA, MD 21044 (Tel: 4109109716)

📍
Updated Business Mailing Address May 07, 2025

Registered at 45 N 6TH ST APT 391, ALLENTOWN, PA 181011104 (Tel: 4259995913)

👤
Provider Name / Credentials Updated May 07, 2025

Recorded as DERRICK JOHNSON

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 07, 2025

Dentist (License #18589 in MD)

🟢
Initial NPI Registration & Enumeration May 07, 2025

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: 1598555310
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 07, 2025
Last Update: May 07, 2025
Sole Proprietor: No

Mailing Address

45 N 6th St Apt 391

Allentown, PA 181011104

Phone: 4259995913

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.