Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1912487505 Individual Practitioner Male Practitioner

Dwight Johnson

Dentist - General Practice • Grandview, MO

Professional Overview & Biography Verified Profile Summary

Dwight Johnson is a registered healthcare professional specializing in Dentist - General Practice in Grandview, MO. Practice services are available at 12200 15TH ST STE 106 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

12200 15th St Ste 106

Grandview, MO 640301772

Telephone 8163988046
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Grandview, MO

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

Practicing in Grandview, 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 2018021651

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

1 Associated Practitioners
Dr. Marcus Ramos-Pearson , DMD

Dentist - General Practice

NPI 1487382776

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 August 14, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location August 14, 2018

Registered at 12200 15TH ST STE 106, GRANDVIEW, MO 640301772 (Tel: 8163988046)

📍
Updated Business Mailing Address August 14, 2018

Registered at 701 E ARMOUR BLVD APT 506, KANSAS CITY, MO 641092303 (Tel: 6307679740)

👤
Provider Name / Credentials Updated August 14, 2018

Recorded as DWIGHT JOHNSON

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 14, 2018

Dentist (License #2018021651 in MO)

🟢
Initial NPI Registration & Enumeration August 14, 2018

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: 1912487505
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 14, 2018
Last Update: August 14, 2018
Sole Proprietor: No

Mailing Address

701 E Armour Blvd Apt 506

Kansas City, MO 641092303

Phone: 6307679740

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.