Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1750080933 Individual Practitioner Female Practitioner

Haley Nicole Johnson

Dentist • San Antonio, TX

Professional Overview & Biography Verified Profile Summary

Haley Johnson is a registered healthcare professional specializing in Dentist in San Antonio, TX. Practice services are available at 9234 N LOOP 1604 W STE 121&123 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

9234 N Loop 1604 W Ste 121&123

San Antonio, TX 782492983

Telephone 2106811121
Associated Practice Facility / Clinic
🏢 Bandera Modern Dentistry, Pc Facility NPI 1184981433

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in San Antonio, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 12.0 Yrs
State Avg: 18.7 Yrs
Regional Practice Density
581 Specialists

Practicing in San Antonio, TX (6851 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: 2025-12-28
Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License TX 41519

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Practice Associates & Co-Workers

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

10 Associated Practitioners
Dr. David Keeton , DMD

Dentist - Pediatric Dentistry

NPI 1073772687

Doctor of Dental Medicine

Catherine Garza

Dentist - General Practice

NPI 1124571740
Dr. Roberto Benavides , DDS

Dentist - General Practice

NPI 1154706836

Doctor of Dental Surgery

Oscar Miranda

Dentist - General Practice

NPI 1225739642
Dr. Christopher Vogt , DDS

Dentist - General Practice

NPI 1689014029

Doctor of Dental Surgery

Dr. Mina Botros , DDS

Dentist - General Practice

NPI 1730666595

Doctor of Dental Surgery

Career & Practice History Timeline

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

10 Historical Events
📍
Updated Business Mailing Address December 28, 2025

Registered at 9234 N LOOP 1604 W STE 121&123, SAN ANTONIO, TX 782492983

📍
Updated Practice Location July 01, 2025

Registered at 9234 N LOOP 1604 W STE 121&123, SAN ANTONIO, TX 782492983 (Tel: 2106811121)

📍
Updated Business Mailing Address July 01, 2025

Registered at 6711 MORNING SHADOW LN, SAN ANTONIO, TX 782562322 (Tel: 8323307566)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 01, 2025

Dentist (License #41519 in TX)

NPI Profile Active February 27, 2023

NPI status registered as active in NPPES database

📍
Updated Practice Location February 27, 2023

Registered at 7703 FLOYD CURL DR, SAN ANTONIO, TX 782293901 (Tel: 2104503700)

📍
Updated Business Mailing Address February 27, 2023

Registered at 7703 FLOYD CURL DR, SAN ANTONIO, TX 782293901 (Tel: 2104503700)

👤
Provider Name / Credentials Updated February 27, 2023

Recorded as HALEY JOHNSON

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 27, 2023

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration February 27, 2023

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: 1750080933
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 27, 2023
Last Update: December 28, 2025
Sole Proprietor: No

Mailing Address

9234 N Loop 1604 W Ste 121&123

San Antonio, TX 782492983

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.