Dr Derrik Reid Johnson, DMD is a
Dentist - General Practice based in Lyons, Colorado. Dr Derrik Reid Johnson is licensed to practice in Colorado (license number DEN-10045) and his current practice location is
303 Main St Bldg C, Lyons, Colorado. He can be reached at his office (for appointments etc.) via phone at
(303) 823-6006.
NPI number for Dr Derrik Reid Johnson is 1447582184 and his current mailing address is 303 Main St Bldg C, Lyons, Colorado. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1447582184.
Healthcare Provider's Profile
| Full Name | Dr Derrik Reid Johnson |
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| Gender | Male |
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| Speciality | Dentist - General Practice |
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| Location | 303 Main St Bldg C, Lyons, Colorado |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1447582184
- Provider Enumeration Date: 02/05/2010
- Last Update Date: 11/27/2023
Medical Identifiers
Medical identifiers for Dr Derrik Reid Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1447582184 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 122300000X | Dentist | 10045 (Colorado) | Secondary |
| 1223G0001X | Dentist - General Practice | D009047 (Arizona) | Secondary |
| 1223G0001X | Dentist - General Practice | 7498 (Nebraska) | Secondary |
| 1223G0001X | Dentist - General Practice | DEN-10045 (Colorado) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Derrik Reid Johnson is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Derrik Reid Johnson, DMD
303 Main St Bldg C,
Lyons, CO 80540-5042
Ph: (303) 823-6006 | Dr Derrik Reid Johnson, DMD
303 Main St Bldg C,
Lyons, CO 80540-5042
Ph: (303) 823-6006 |
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