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Dr. Michael Lee Johnson , DDS

Dentist - General Practice β€’ Fort Irwin, CA

Active NPI 1629216726 Individual Practitioner Male Practitioner
Practice location in NPPES

Bldg 171, 4th & Innerloop, Usa Dentac
Fort Irwin, CA 923105076

Call 7195265537 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

Bldg 171, 4th & Innerloop
Usa Dentac

Fort Irwin, CA 923105076

Telephone 7195265537
Fax 7195242843
Other Listings in Public Data

NPPES lists 1 additional practice-address record in Fort Bliss, TX. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2019–2025.

Guide: How to read an Open Payments record

NPI first issued

2009

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Fort Irwin and California

11 active clinicians are listed under Dentist - General Practice with a practice address in Fort Irwin, CA (17,862 in California).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Fort Irwin

0% of these 11 clinicians have the CMS telehealth indicator.

0% of these 11 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2023-06-21
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

License # reported to NPPES CA 57817

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

NUCC Taxonomy Code: 122300000X

License # reported to NPPES CA 57817

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.

Dentist - General Practice

NUCC Taxonomy Code: 1223G0001X

License # reported to NPPES CA DDS57817

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.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Medical Board of California.
Look Up on State Board Site

Secondary Practice Locations

2901 Cassidy Rd

Fort Bliss, TX 799163502

Phone: 9157420086

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

6 listed
NPI 1124455829

Doctor of Dental Surgery

Dr. Joshua Lee , DDS

Dentist - General Practice

NPI 1245547520

Doctor of Dental Surgery

Ryan Payne

Dentist - Oral and Maxillofacial Surgery

NPI 1073999777
Dr. Matthew Rice , DMD

Dentist - General Practice

NPI 1194241877

Doctor of Dental Medicine

NPI 1235616996

Doctor of Dental Medicine

NPI 1710960620

Doctor of Dental Medicine

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

14 Historical Events
πŸ“
Updated Practice Location June 21, 2023

Registered at BLDG 171, 4TH & INNERLOOP, USA DENTAC, FORT IRWIN, CA 923105076 (Tel: 7195265537)

πŸ“
Updated Practice Location April 07, 2023

Registered at 2901 CASSIDY RD, FORT BLISS, TX 799163502 (Tel: 9157420086)

πŸ“
Updated Business Mailing Address April 07, 2023

Registered at 2901 CASSIDY RD, FORT BLISS, TX 799163502 (Tel: 9157420086)

βœ…
NPI Profile Active October 17, 2017

NPI status registered as active in NPPES database

πŸ“
Updated Practice Location October 17, 2017

Registered at 5005 N PIEDRAS ST, EL PASO, TX 799205002 (Tel: 9157420086)

πŸ“
Updated Business Mailing Address October 17, 2017

Registered at 5005 N PIEDRAS ST, EL PASO, TX 799205002 (Tel: 9157420086)

πŸ‘€
Provider Name / Credentials Updated October 17, 2017

Recorded as MICHAEL JOHNSON, DDS

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) October 17, 2017

Dentist (license number reported to NPPES: CA 57817)

βœ…
NPI Profile Active August 21, 2013

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) August 21, 2013

Registered at BLDG 171, 4TH & INNERLOOP, USA DENTAC, FORT IRWIN, CA 923105076 (Tel: 7195265537)

πŸ“
Business Mailing Address (Initial Record) August 21, 2013

Registered at BLDG 171, 4TH & INNERLOOP, USA DENTAC, FORT IRWIN, CA 923105076 (Tel: 7195265537)

πŸ‘€
Provider Name / Credentials (Initial Record) August 21, 2013

Recorded as MICHAEL JOHNSON, DDS

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) August 21, 2013

Dentist (license number reported to NPPES: CA 57817)

🟒
Initial NPI Registration & Enumeration January 27, 2009

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1629216726
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 27, 2009
Last Update: June 21, 2023
Sole Proprietor: No

Mailing Address

2901 Cassidy Rd

Fort Bliss, TX 799163502

Phone: 9157420086

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.