Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1235148453 Deactivated / Inactive NPI Male Practitioner

Dr. John Scott Johnson , DDS

Dentist - Pediatric Dentistry • Lubbock, TX

⚠️

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

Registration / Start Date August 05, 2006
NPI Deactivation Date February 22, 2023
Total Practice Duration ~17 Years of Practice (2006 – 2023)

Professional Overview & Biography Verified Profile Summary

Dr. John Johnson, DDS was a registered Dentist - Pediatric Dentistry practicing in Lubbock, TX. Throughout an active medical career spanning 17 years, Dr. Johnson provided care at the practice location at 5102 SALEM AVE until profile deactivation on 2023-02-22.

Practice Location & Contact Primary Location

Practice Address

5102 Salem Ave

Lubbock, TX 794144036

Telephone 8066878080
Fax 8067716862
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - Pediatric Dentistry in Lubbock, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 15.1 Yrs
Regional Practice Density
13 Specialists

Practicing in Lubbock, TX (1046 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 - Pediatric Dentistry Primary Specialty

NUCC Taxonomy Code: 1223P0221X

State License TX 17087

An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

Practice Associates & Co-Workers

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

1 Associated Practitioners
Tejaswi Singana

Dentist - Pediatric Dentistry

NPI 1952070260

Career & Practice History Timeline

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

7 Historical Events
⚠️
NPI Profile Deactivated February 22, 2023

Record deactivated on February 22, 2023

NPI Profile Active October 19, 2011

NPI status registered as active in NPPES database

📍
Updated Practice Location October 19, 2011

Registered at 5102 SALEM AVE, LUBBOCK, TX 794144036 (Tel: 8066878080)

📍
Updated Business Mailing Address October 19, 2011

Registered at 5102 SALEM AVE, LUBBOCK, TX 794144036 (Tel: 8066878080)

👤
Provider Name / Credentials Updated October 19, 2011

Recorded as JOHN JOHNSON, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 19, 2011

Dentist (License #17087 in TX)

🟢
Initial NPI Registration & Enumeration August 05, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Dr. John Johnson. Be the first to share your experience!

Sign in to leave a review for Dr. John Johnson

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1235148453
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 05, 2006
Last Update: October 19, 2011
Deactivation Date: February 22, 2023

Mailing Address

5102 Salem Ave

Lubbock, TX 794144036

Phone: 8066878080

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.