Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1457570319 Deactivated / Inactive NPI Male Practitioner

Dr. Jay A Johnson , DDS

Dentist • Las Vegas, NV

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

Registration / Start Date April 25, 2007
NPI Deactivation Date February 05, 2026
Total Practice Duration ~19 Years of Practice (2007 – 2026)

Professional Overview & Biography Verified Profile Summary

Dr. Jay Johnson, DDS was a registered Dentist practicing in Las Vegas, NV. Throughout an active medical career spanning 19 years, Dr. Johnson provided care at the practice location at 3220 NORTH BRONCO ST until profile deactivation on 2026-02-05.

Practice Location & Contact Primary Location

Practice Address

3220 North Bronco St
Suite 102

Las Vegas, NV 891084863

Telephone 7023962223
Fax 7023967805
Associated Practice Facility / Clinic
🏢 Jay A Johnson Dds Ltd Facility NPI 1639398597

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Las Vegas, NV

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 30.0 Yrs
State Avg: 30.0 Yrs
Regional Practice Density
511 Specialists

Practicing in Las Vegas, NV (886 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 NV 2320

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 Deactivated February 05, 2026

Record deactivated on February 05, 2026

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 3220 NORTH BRONCO ST, SUITE 102, LAS VEGAS, NV 891084863 (Tel: 7023962223)

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Updated Business Mailing Address July 08, 2007

Registered at 3220 NORTH BRONCO ST, SUITE 102, LAS VEGAS, NV 891084863 (Tel: 7023962223)

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Provider Name / Credentials Updated July 08, 2007

Recorded as JAY JOHNSON, DDS

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Dentist (License #2320 in NV)

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Initial NPI Registration & Enumeration April 25, 2007

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: 1457570319
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 25, 2007
Last Update: July 08, 2007
Deactivation Date: February 05, 2026

Mailing Address

3220 North Bronco St, Suite 102

Las Vegas, NV 891084863

Phone: 7023962223

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.