Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1114419454 Individual Practitioner Male Practitioner

Dr. Kevin Johnson , DDS

Dentist - General Practice • Youngstown, OH

Professional Overview & Biography Verified Profile Summary

Dr. Kevin Johnson, DDS is a registered healthcare professional specializing in Dentist - General Practice in Youngstown, OH. Practice services are available at 1001 COVINGTON ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1001 Covington St

Youngstown, OH 445101617

Telephone 3304803195

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Youngstown, OH

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 19.6 Yrs
Regional Practice Density
50 Specialists

Practicing in Youngstown, OH (4287 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: 2020-02-28
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License OH 30.025485

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
0364263 (OH)

Secondary Practice Locations

7260 West Blvd Ste G

Youngstown, OH 445124383

Phone: 3307204774

Practice Associates & Co-Workers

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

16 Associated Practitioners
Dr. Charles Page , DMD

Dentist - General Practice

NPI 1104318468

Doctor of Dental Medicine

NPI 1184299216

Doctor of Dental Surgery

Dr. Amy Caicco , DDS

Dentist - General Practice

NPI 1245685296

Doctor of Dental Surgery

Dr. Chelsea Colburn , DDS

Dentist - General Practice

NPI 1285131557

Doctor of Dental Surgery

Dr. M. Beck , DDS, FAAHD, MAGD

Dentist - General Practice

NPI 1467468231

Doctor of Dental Surgery, FAAHD, MAGD

Jeana Mcevey

Dentist - General Practice

NPI 1477044352

Career & Practice History Timeline

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

8 Historical Events
📍
Updated Practice Location February 28, 2020

Registered at 1001 COVINGTON ST, YOUNGSTOWN, OH 445101617 (Tel: 3304803195)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 28, 2020

Dentist (License #30.025485 in OH)

NPI Profile Active June 02, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location June 02, 2018

Registered at 1001 COVINGTON ST BLDG G, YOUNGSTOWN, OH 445101617 (Tel: 3304803195)

📍
Updated Business Mailing Address June 02, 2018

Registered at 1001 COVINGTON ST, YOUNGSTOWN, OH 445101617 (Tel: 3304803195)

👤
Provider Name / Credentials Updated June 02, 2018

Recorded as KEVIN JOHNSON, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 02, 2018

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration June 02, 2018

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: 1114419454
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 02, 2018
Last Update: February 28, 2020
Sole Proprietor: No

Mailing Address

1001 Covington St

Youngstown, OH 445101617

Phone: 3304803195

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.