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Deactivated NPI 1487636031 Deactivated / Inactive NPI Male Practitioner

Dr. Ronald E Johnson , DDS

Dentist - General Practice • Henderson, TN

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

Registration / Start Date November 18, 2005
NPI Deactivation Date May 31, 2022
Total Practice Duration ~17 Years of Practice (2005 – 2022)

Professional Overview & Biography Verified Profile Summary

Dr. Ronald Johnson, DDS was a registered Dentist - General Practice practicing in Henderson, TN. Throughout an active medical career spanning 17 years, Dr. Johnson provided care at the practice location at 136 SOUTH WASHINGTON AVE until profile deactivation on 2022-05-31.

Practice Location & Contact Primary Location

Practice Address

136 South Washington Ave

Henderson, TN 383400096

Telephone 7319894501
Fax 7319899967

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Henderson, TN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 13.5 Yrs
Regional Practice Density
3 Specialists

Practicing in Henderson, TN (2175 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 - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License TN DS00001953

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.

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 May 31, 2022

Record deactivated on May 31, 2022

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 136 SOUTH WASHINGTON AVE, HENDERSON, TN 383400096 (Tel: 7319894501)

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Updated Business Mailing Address July 08, 2007

Registered at PO BOX 96, HENDERSON, TN 383400096 (Tel: 7319897501)

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Provider Name / Credentials Updated July 08, 2007

Recorded as RONALD JOHNSON, DDS

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

Dentist (License #DS00001953 in TN)

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Initial NPI Registration & Enumeration November 18, 2005

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: 1487636031
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 18, 2005
Last Update: July 08, 2007
Deactivation Date: May 31, 2022

Mailing Address

Po Box 96

Henderson, TN 383400096

Phone: 7319897501

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.