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Haley Nicole Johnson

Dentist β€’ San Antonio, TX

Active NPI 1750080933 Individual Practitioner Female Practitioner
Practice location in NPPES

9234 N Loop 1604 W Ste 121&123
San Antonio, TX 782492983

Call 2106811121 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

9234 N Loop 1604 W Ste 121&123

San Antonio, TX 782492983

Telephone 2106811121
Organization at the Same NPPES Address or Phone
Bandera Modern Dentistry, Pc Facility NPI 1184981433

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)

Fewer than 11 payment records totaling $146.11 in 2025

Drug and medical device companies must report certain payments to doctors and some other clinicians to CMS, such as meals, travel, speaking fees or research funding.

These records are submitted by drug and medical device companies, and a reported payment does not necessarily mean the financial relationship is improper.

General: payments not tied to research, such as meals, travel, consulting or speaking fees.

A reported payment does not necessarily mean the financial relationship is improper. Research payments can go to a hospital or university for a study the clinician leads, not to the clinician personally. Clinicians can dispute records with the company that reported them.

Source: CMS Open Payments, program year 2025.

Guide: How to read an Open Payments record

NPI first issued

2023

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

Enrolled in Medicare (PECOS)

Haley 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 Haley 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 San Antonio and Texas

549 active clinicians are listed under Dentist with a practice address in San Antonio, TX (6,580 in Texas).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in San Antonio

0% of these 549 clinicians have the CMS telehealth indicator.

0% of these 549 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Open Payments (2025), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· 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 Β· Program Year 2025

Program year 2025 (payments made January 1 – December 31, 2025): fewer than 11 records totaling $146.11.

Manufacturer Payment Nature Product Type Amount ($)
Bone Support Inc.
Food and Beverage
In-kind items and services
CERAMENTBONE VOID FILLER General $146.11

Source: CMS Open Payments, program year 2025, released June 30, 2026.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2025-12-28
Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

License # reported to NPPES 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.

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: Texas Medical Board.
Look Up on State Board Site

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

I20250918003218

Enrollment State Jurisdiction

TX

PECOS Control ID

7719481050

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. Roberto Benavides , DDS

Dentist - General Practice

NPI 1154706836

Doctor of Dental Surgery

Dr. Brett Bocian , DMD

Dentist - General Practice

NPI 1750802641

Doctor of Dental Medicine

Dr. Mina Botros , DDS

Dentist - General Practice

NPI 1730666595

Doctor of Dental Surgery

Catherine Garza

Dentist - General Practice

NPI 1124571740
Dr. Kassandra Gorena , DDS

Dentist - General Practice

NPI 1932638079

Doctor of Dental Surgery

Dr. Christopher Vogt , DDS

Dentist - General Practice

NPI 1689014029

Doctor of Dental Surgery

Career & Practice History Timeline

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

10 Historical Events
πŸ“
Updated Business Mailing Address December 28, 2025

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

πŸ“
Updated Practice Location July 01, 2025

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

πŸ“
Updated Business Mailing Address July 01, 2025

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

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

Dentist (license number reported to NPPES: TX 41519)

βœ…
NPI Profile Active February 27, 2023

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) February 27, 2023

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

πŸ“
Business Mailing Address (Initial Record) February 27, 2023

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

πŸ‘€
Provider Name / Credentials (Initial Record) February 27, 2023

Recorded as HALEY JOHNSON

πŸŽ“
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.

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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

Other Dentists in San Antonio

All Dentists in San Antonio

Mailing Address

9234 N Loop 1604 W Ste 121&123

San Antonio, TX 782492983

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.