Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1528155843 Individual Practitioner Male Practitioner

Dr. Richard Brent Johnson , DDS

Dentist - General Practice • Baraga, MI

Professional Overview & Biography Verified Profile Summary

Dr. Richard Johnson, DDS is a registered healthcare professional specializing in Dentist - General Practice in Baraga, MI. Practice services are available at 102 SUPERIOR AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

102 Superior Ave

Baraga, MI 49908

Telephone 9063538700
Fax 9063538799
Associated Practice Facility / Clinic
🏢 Keweenaw Bay Indian Community Facility NPI 1336232289

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Baraga, MI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 15.8 Yrs
Regional Practice Density
1 Specialists

Practicing in Baraga, MI (4360 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 MI 2901016942

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
3272050 (MI)

Practice Associates & Co-Workers

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

24 Associated Practitioners
Ruth Keller , RN

Registered Nurse

NPI 1003902438

Registered Nurse

Dr. Chung Oh , DO

Family Medicine

NPI 1053499483

Doctor of Osteopathic Medicine (D.O.)

Deborah Vizina , LPN

Licensed Practical Nurse

NPI 1093801425

Licensed Practical Nurse

Mary Tikkanen

Dental Assistant

NPI 1114010063
Kathleen Mayo , RN

Registered Nurse

NPI 1124105663

Registered Nurse

Dr. Elton Li , MD

Family Medicine

NPI 1144844564

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 February 27, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location February 27, 2013

Registered at 102 SUPERIOR AVE, BARAGA, MI 49908 (Tel: 9063538700)

📍
Updated Business Mailing Address February 27, 2013

Registered at 102 SUPERIOR AVE, BARAGA, MI 49908 (Tel: 9063538700)

👤
Provider Name / Credentials Updated February 27, 2013

Recorded as RICHARD JOHNSON, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 27, 2013

Dentist (License #2901016942 in MI)

🟢
Initial NPI Registration & Enumeration October 06, 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: 1528155843
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 06, 2006
Last Update: February 27, 2013
Sole Proprietor: No

Mailing Address

102 Superior Ave

Baraga, MI 49908

Phone: 9063538700

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.