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Deactivated NPI 1447355052 Deactivated / Inactive NPI Male Practitioner

Dr. Mark C Johnson , DDS

Dentist • North Bend, NE

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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. Mark Johnson has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date September 14, 2006
NPI Deactivation Date December 04, 2014
Total Practice Duration ~8 Years of Practice (2006 – 2014)

Professional Overview & Biography Verified Profile Summary

Dr. Mark Johnson, DDS was a registered Dentist practicing in North Bend, NE. Throughout an active medical career spanning 8 years, Dr. Johnson provided care at the practice location at 740 MAIN ST until profile deactivation on 2014-12-04.

Practice Location & Contact Primary Location

Practice Address

740 Main St

North Bend, NE 686495003

Telephone 4026523670

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in North Bend, NE

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 11.6 Yrs
Regional Practice Density
1 Specialists

Practicing in North Bend, NE (693 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 NE 4322

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.

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 Reactivated March 03, 2015

Record officially reactivated for active practice on March 03, 2015

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Updated Practice Location March 03, 2015

Registered at 740 MAIN ST, NORTH BEND, NE 686495003 (Tel: 4026523670)

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Updated Business Mailing Address March 03, 2015

Registered at PO BOX 396, NORTH BEND, NE 686490396 (Tel: 4026523670)

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Provider Name / Credentials Updated March 03, 2015

Recorded as MARK JOHNSON, D.D.S.

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Medical Taxonomy / Specialty Registered (Primary Specialty) March 03, 2015

Dentist (License #4322 in NE)

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NPI Profile Deactivated December 04, 2014

Record deactivated on December 04, 2014

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Initial NPI Registration & Enumeration September 14, 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: 1447355052
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 14, 2006
Last Update: March 03, 2015
Deactivation Date: December 04, 2014
Sole Proprietor: Yes

Mailing Address

Po Box 396

North Bend, NE 686490396

Phone: 4026523670

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.