Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1407915291 Individual Practitioner Male Practitioner

Dr. Todd A Johnson , DMD

Dentist - General Practice • Weston, WI

Professional Overview & Biography Verified Profile Summary

Dr. Todd Johnson, DMD is a registered healthcare professional specializing in Dentist - General Practice in Weston, WI. Practice services are available at 5702 MEMORIAL CT under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

5702 Memorial Ct

Weston, WI 544766502

Telephone 7154961128
Fax 7159728123
Associated Practice Facility / Clinic
🏢 Mountain Bay Dental Llc Facility NPI 1295268019

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Weston, WI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 24.5 Yrs
Regional Practice Density
3 Specialists

Practicing in Weston, WI (2459 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 WI 1001483

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.

Dentist - General Practice

NUCC Taxonomy Code: 1223G0001X

State License IL 019025511

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
1004971 (IL)

Practice Associates & Co-Workers

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

1 Associated Practitioners
Dr. John Felkner , DDS

Dentist - General Practice

NPI 1710016167

Doctor of Dental Surgery

Career & Practice History Timeline

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

11 Historical Events
NPI Profile Active April 14, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location April 14, 2017

Registered at 5702 MEMORIAL CT, WESTON, WI 544766502 (Tel: 7154961128)

📍
Updated Business Mailing Address April 14, 2017

Registered at 5702 MEMORIAL CT, WESTON, WI 544766502 (Tel: 7154961128)

👤
Provider Name / Credentials Updated April 14, 2017

Recorded as TODD JOHNSON, DMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 14, 2017

Dentist (License #1001483 in WI)

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 225 N MARKET ST, PAXTON, IL 609571189 (Tel: 2173794667)

📍
Updated Business Mailing Address July 08, 2007

Registered at 225 N MARKET ST, PAXTON, IL 609571189 (Tel: 2173794667)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as TODD JOHNSON, DMD

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

Dentist (License #019025511 in IL)

🟢
Initial NPI Registration & Enumeration December 07, 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: 1407915291
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 07, 2006
Last Update: April 14, 2017
Sole Proprietor: No

Mailing Address

5702 Memorial Ct

Weston, WI 544766502

Phone: 7154961128

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.