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Dr. Kelly Wade Johnson , DDS

Dentist - General Practice • Lansing, MI

Active NPI 1467431932 Individual Practitioner Female Practitioner
Practice location in NPPES

2815 S Pennsylvania Ave, #203
Lansing, MI 489103495

Call 5172724150 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

2815 S Pennsylvania Ave
#203

Lansing, MI 489103495

Telephone 5172724150
Organization at the Same NPPES Address or Phone
Greater Lansing Surgeons, P.c. Facility NPI 1417905613

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

What Public CMS Data Show

Dentist - General Practice: NPPES taxonomy is a reported classification, not proof of board certification.

Open Payments general payments, program year 2024

All general payments: $141.85 across 3 records.

By nature of payment

  • Food and Beverage: $141.85 across 3 records.

Reporting-company totals

  • ZIMVIE INC.: $124.59 across 2 records.
  • Solventum Corporation: $17.26 across 1 record.

A reported payment does not necessarily mean the financial relationship is improper and is not a measure of care quality. Clinicians can review and dispute these records.

See the full table

Source: Calculated by T-MedInfo from CMS Open Payments general-payment records for program year 2024 (published June 30, 2026).

Guide: How to read an Open Payments record

NPI first issued

2006

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, “Does 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

Enrolled in Medicare (PECOS)

Dr. Johnson has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Dr. Johnson as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Lansing and Michigan

85 active clinicians are listed under Dentist - General Practice with a practice address in Lansing, MI (4,095 in Michigan).

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

Telehealth indicator in Lansing

0% of these 85 clinicians have the CMS telehealth indicator.

0% of these 85 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Open Payments (2024), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo · Report an error.

Pharma & Medical Device Financial Disclosures

Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments

Open Payments · Program Year 2024
Disclosure Year:

Program year 2024 (payments made January 1 – December 31, 2024): fewer than 11 records totaling $141.85.

Manufacturer Payment Nature Product Type Amount ($)
ZIMVIE INC.
Food and Beverage
In-kind items and services
TAPERED SCREW-VENT General $82.42
ZIMVIE INC.
Food and Beverage
In-kind items and services
BELLATEK General $42.17
Solventum Corporation
Food and Beverage
Cash or cash equivalent
Clarity Aligners General $17.26

Source: CMS Open Payments, program year 2024, released June 30, 2026.

Specialties & License Numbers Reported to NPPES

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

License # reported to NPPES MI 2901018145

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: Michigan Department of Licensing and Regulatory Affairs.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid ID
4530810 (MI)
Other Identifier United Concordia
1385419 (MI)
Other Identifier Delta Dental
161661900 (MI)
Other Identifier Blue Cross Blue Shield
161661900 (MI)

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

ORDER AND REFERRING ONLY - DENTIST

Medicare Enrollment ID

I20170511000221

Enrollment State Jurisdiction

MI

PECOS Control ID

2365762986

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Not Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

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
Dr. Benjamin Dorenkamp , DO

Orthopaedic Surgery - Orthopaedic Surgery of the Spine

NPI 1417349986

Doctor of Osteopathic Medicine (D.O.)

Dr. John Flood , DO

Orthopaedic Surgery - Orthopaedic Surgery of the Spine

NPI 1679569883

Doctor of Osteopathic Medicine (D.O.)

NPI 1497855753

Doctor of Osteopathic Medicine (D.O.)

Paula Mass , PA

Physician Assistant - Medical

NPI 1861639502

Physician Assistant

Dr. John Mesko , MD

Orthopaedic Surgery - Adult Reconstructive Orthopaedic Surgery

NPI 1043200306

Doctor of Medicine (M.D.)

Dr. Charles Taunt , DO

Orthopaedic Surgery - Adult Reconstructive Orthopaedic Surgery

NPI 1104816511

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History

NPI enumerated January 12, 2006.

No changes to the name, practice address, taxonomy or NPI status in this record have been observed in the monthly NPPES data files from January 2017 to August 2026.

No reviews have been published yet. Leave a review.

NPI Administrative Meta

NPI Number: 1467431932
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 12, 2006
Last Update: September 10, 2015
Sole Proprietor: No

Other Dentist - General Practices in Lansing

All Dentist - General Practices in Lansing

Mailing Address

5303 S Cedar St

Lansing, MI 489113800

Phone: 5172724150

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.