Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1104994052 Individual Practitioner Male Practitioner

Dr. Henderson Andrew Johnson , DDS

Dentist - General Practice • Cleveland, OH

Professional Overview & Biography Verified Profile Summary

Dr. Henderson Johnson, DDS is a registered healthcare professional specializing in Dentist - General Practice in Cleveland, OH. Practice services are available at 2475 E 22ND ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2475 E 22nd St
Suite 204

Cleveland, OH 441153221

Telephone 2165667770
Fax 2165667704
Associated Practice Facility / Clinic
🏢 Central Medical Arts Pharmacy Facility NPI 1417946062

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Cleveland, OH

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 18.7 Yrs
State Avg: 19.6 Yrs
Regional Practice Density
180 Specialists

Practicing in Cleveland, OH (4287 Statewide)

Telehealth Adoption Rate
0.6% 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 OH 17934

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
0668406 (OH)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

9 Associated Practitioners
Dr. Srinivas Merugu , MD

Internal Medicine

NPI 1134102825

Doctor of Medicine (M.D.)

Dr. Giesele Greene , MD

Internal Medicine - Geriatric Medicine

NPI 1144368317

Doctor of Medicine (M.D.)

Dr. James Boyle , MD

Internal Medicine - Gastroenterology

NPI 1154439636

Doctor of Medicine (M.D.)

Dr. Lokanathan Anand , MD

Internal Medicine

NPI 1174607410

Doctor of Medicine (M.D.)

NPI 1255417366

Registered Pharmacist

Dr. Howard Tucker , MD

Psychiatry & Neurology - Neurology

NPI 1295784908

Doctor of Medicine (M.D.)

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 2475 E 22ND ST, SUITE 204, CLEVELAND, OH 441153221 (Tel: 2165667770)

📍
Updated Business Mailing Address July 08, 2007

Registered at 2475 E 22ND ST, SUITE 204, CLEVELAND, OH 441153221 (Tel: 2165667770)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as HENDERSON JOHNSON, D.D.S

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

Dentist (License #17934 in OH)

🟢
Initial NPI Registration & Enumeration November 30, 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: 1104994052
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 30, 2006
Last Update: July 08, 2007
Sole Proprietor: Yes

Mailing Address

2475 E 22nd St, Suite 204

Cleveland, OH 441153221

Phone: 2165667770

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.