Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1932624178 Individual Practitioner Male Practitioner

Dr. Jesse Johnson , DDS

Dentist - General Practice • Rio Rancho, NM

Professional Overview & Biography Verified Profile Summary

Dr. Jesse Johnson, DDS is a registered healthcare professional specializing in Dentist - General Practice in Rio Rancho, NM. Practice services are available at 1137 COMMERCIAL DR SE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1137 Commercial Dr Se

Rio Rancho, NM 871244658

Telephone 5058969399
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Rio Rancho, NM

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 9.6 Yrs
Regional Practice Density
29 Specialists

Practicing in Rio Rancho, 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: 2024-10-08
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License NM DD4776

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
000000 (NM)

Career & Practice History Timeline

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

8 Historical Events
📍
Updated Practice Location October 08, 2024

Registered at 1137 COMMERCIAL DR SE, RIO RANCHO, NM 871244658 (Tel: 5058969399)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 08, 2024

Dentist (License #DD4776 in NM)

NPI Profile Active August 09, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location August 09, 2017

Registered at 9201 EAGLE RANCH RD NW, ALBUQUERQUE, NM 871146032 (Tel: (505) 553-3607)

📍
Updated Business Mailing Address August 09, 2017

Registered at 9201 EAGLE RANCH RD NW, ALBUQUERQUE, NM 87114 (Tel: 5055533607)

👤
Provider Name / Credentials Updated August 09, 2017

Recorded as JESSE JOHNSON, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 09, 2017

Dentist (License #DD in NM)

🟢
Initial NPI Registration & Enumeration August 09, 2017

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: 1932624178
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 09, 2017
Last Update: October 08, 2024
Sole Proprietor: No

Mailing Address

9201 Eagle Ranch Rd Nw

Albuquerque, NM 87114

Phone: 5055533607

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.