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Deactivated NPI 1922092337 Deactivated / Inactive NPI Male Practitioner

Dr. Robert Mathis Johnson , DDS, MPH

Dentist • Cumberland, MD

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Robert Johnson has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date August 31, 2005
NPI Deactivation Date November 09, 2020
Total Practice Duration ~15 Years of Practice (2005 – 2020)

Professional Overview & Biography Verified Profile Summary

Dr. Robert Johnson, DDS, MPH was a registered Dentist practicing in Cumberland, MD. Throughout an active medical career spanning 15 years, Dr. Johnson provided care at the practice location at 12503 WILLOWBROOK RD. SE until profile deactivation on 2020-11-09.

Practice Location & Contact Primary Location

Practice Address

12503 Willowbrook Rd. Se

Cumberland, MD 215011745

Telephone 3017595030
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Cumberland, MD

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.6 Yrs
Regional Practice Density
11 Specialists

Practicing in Cumberland, MD (1975 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 MD 03321

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.

Practice Associates & Co-Workers

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

2 Associated Practitioners
NPI 1770751570

Doctor of Dental Surgery, Master of Public Health

Dr. Kirsten Heavener , DDS

Dentist - General Practice

NPI 1982014965

Doctor of Dental Surgery

Career & Practice History Timeline

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

7 Historical Events
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NPI Profile Deactivated November 09, 2020

Record deactivated on November 09, 2020

NPI Profile Active February 15, 2008

NPI status registered as active in NPPES database

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Updated Practice Location February 15, 2008

Registered at 12503 WILLOWBROOK RD. SE, CUMBERLAND, MD 215011745 (Tel: 3017595030)

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Updated Business Mailing Address February 15, 2008

Registered at PO BOX 689, HARPERS FERRY, WV 254250689 (Tel: 3045352203)

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Provider Name / Credentials Updated February 15, 2008

Recorded as ROBERT JOHNSON, DDS, MPH

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Medical Taxonomy / Specialty Registered (Primary Specialty) February 15, 2008

Dentist (License #03321 in MD)

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Initial NPI Registration & Enumeration August 31, 2005

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: 1922092337
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 31, 2005
Last Update: February 15, 2008
Deactivation Date: November 09, 2020

Mailing Address

Po Box 689

Harpers Ferry, WV 254250689

Phone: 3045352203

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.