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Alexander Johnson

Dentist - General Practice β€’ Lakeview, OR

Active NPI 1508685603 Individual Practitioner Male Practitioner
Practice location in NPPES

1339 S 9th St
Lakeview, OR 976301919

Call 5419474066 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

1339 S 9th St

Lakeview, OR 976301919

Telephone 5419474066
Organization at the Same NPPES Address or Phone
Mark C. Davis, Dds, Pc Facility NPI 1023849841

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

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

2024

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 Lakeview and Oregon

3 active clinicians are listed under Dentist - General Practice with a practice address in Lakeview, OR (1,894 in Oregon).

Addresses are self-reported to NPPES and may be out of date.

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: 2025-07-23
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

License # reported to NPPES OR D12244

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: Oregon Medical Board.
Look Up on State Board Site

Clinicians Sharing This Practice Address or Phone

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

1 listed
Dr. Dallin Degraffenried , DDS

Dentist - General Practice

NPI 1689353302

Doctor of Dental Surgery

Career & Practice History Timeline

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

7 Historical Events
πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) July 23, 2025

Dentist (license number reported to NPPES: OR D12244)

βœ…
NPI Profile Active October 07, 2024

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) October 07, 2024

Registered at 1339 S 9TH ST, LAKEVIEW, OR 976301919 (Tel: 5419474066)

πŸ“
Business Mailing Address (Initial Record) October 07, 2024

Registered at 1782 W 42ND ST, ERIE, PA 165091144

πŸ‘€
Provider Name / Credentials (Initial Record) October 07, 2024

Recorded as ALEXANDER JOHNSON

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) October 07, 2024

Student in an Organized Health Care Education/Training Program

🟒
Initial NPI Registration & Enumeration October 07, 2024

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1508685603
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 07, 2024
Last Update: July 23, 2025
Sole Proprietor: No

Other Dentist - General Practices in Lakeview

Mailing Address

1782 W 42nd St

Erie, PA 165091144

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.