Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1114033321 Individual Practitioner Female Practitioner

Dr. Nita F Johnson , DDS

Dentist - General Practice • Berkeley, MO

Professional Overview & Biography Verified Profile Summary

Dr. Nita Johnson, DDS is a registered healthcare professional specializing in Dentist - General Practice in Berkeley, MO. Practice services are available at 6121 N HANLEY RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

6121 N Hanley Rd

Berkeley, MO 631342003

Telephone 3146150531
Fax 3146158303
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Berkeley, MO

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 9.5 Yrs
Regional Practice Density
2 Specialists

Practicing in Berkeley, MO (2113 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 MO 013816

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
401814611 (MO)

Practice Associates & Co-Workers

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

18 Associated Practitioners
Mary Fitzgerald , ANP

Nurse Practitioner - Pediatrics

NPI 1033224472

Adult Nurse Practitioner

Margaret Hinshaw , LCSW

Social Worker - Clinical

NPI 1083864797

Licensed Clinical Social Worker

Susan Bishop , ANP

Nurse Practitioner - Pediatrics

NPI 1114031531

Adult Nurse Practitioner

Dr. Ernest Jackson , DDS

Dentist - Dental Public Health

NPI 1124113246

Doctor of Dental Surgery

NPI 1184739609

Advanced Practice Nurse

Dr. Victoria Dzundzev , DMD

Dentist - General Practice

NPI 1356489561

Doctor of Dental Medicine

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active December 17, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location December 17, 2012

Registered at 6121 N HANLEY RD, BERKELEY, MO 631342003 (Tel: 3146150531)

📍
Updated Business Mailing Address December 17, 2012

Registered at 6121 N HANLEY RD, BERKELEY, MO 631342003 (Tel: 3146150531)

👤
Provider Name / Credentials Updated December 17, 2012

Recorded as NITA JOHNSON, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 17, 2012

Dentist (License #013816 in MO)

🟢
Initial NPI Registration & Enumeration August 21, 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: 1114033321
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 21, 2006
Last Update: December 17, 2012
Sole Proprietor: No

Mailing Address

6121 N Hanley Rd

Berkeley, MO 631342003

Phone: 3146150531

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.