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Active NPI 1023024536 Individual Practitioner Male Practitioner

Dr. Mark W. Johnson , DDS

Dentist - General Practice • Albuquerque, NM

Professional Overview & Biography Verified Profile Summary

Dr. Mark Johnson, DDS is a registered healthcare professional specializing in Dentist - General Practice in Albuquerque, NM. Practice services are available at 5115 COORS BLVD NW STE F under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

5115 Coors Blvd Nw Ste F

Albuquerque, NM 871201926

Telephone 5059265160
Fax 5057924480

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Albuquerque, NM

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 17.5 Yrs
State Avg: 9.6 Yrs
Regional Practice Density
306 Specialists

Practicing in Albuquerque, NM (761 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

CMS Verified: 2021-11-01
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License NM 1527

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
85001 (NM)
Commercial Insurance / Payer ID United Concordia
841521

Career & Practice History Timeline

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

6 Historical Events
✅
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 5115 COORS BLVD NW STE F, ALBUQUERQUE, NM 871201926 (Tel: 5059229511)

📍
Updated Business Mailing Address July 08, 2007

Registered at 5115 COORS BLVD NW STE F, ALBUQUERQUE, NM 871201926 (Tel: 5059229511)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as MARK JOHNSON, D.D.S.

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

Dentist (License #1527 in NM)

🟢
Initial NPI Registration & Enumeration August 01, 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: 1023024536
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 01, 2006
Last Update: November 01, 2021
Sole Proprietor: Yes
Update or Correct Profile

Mailing Address

5115 Coors Blvd Nw Ste F

Albuquerque, NM 871201926

Phone: 5059265160

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.