Dr John A Johnson, DDS is a
Dentist - General Practice based in Craigmont, Idaho. Dr John A Johnson is licensed to practice in Idaho (license number D1388) and his current practice location is
420 N Division St., Craigmont, Idaho. He can be reached at his office (for appointments etc.) via phone at
(208) 924-5830.
NPI number for Dr John A Johnson is 1609820521 and his current mailing address is 420 N. Division St., P.o. Box 188, Craigmont, Idaho. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1609820521.
Healthcare Provider's Profile
| Full Name | Dr John A Johnson |
|---|
| Gender | Male |
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| Speciality | Dentist - General Practice |
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| Location | 420 N Division St., Craigmont, Idaho |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1609820521
- Provider Enumeration Date: 05/22/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Dr John A Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1609820521 | NPI | - | NPPES |
| 0017744400 | Medicaid | ID | |
| 836142 | Other | ID | UNITED CONCORDIA TDP |
| 1000932 | Other | ID | REGENCE BLUE SHIELD |
| 6201-8 | Other | ID | BLUE CROSS |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 1223G0001X | Dentist - General Practice | D1388 (Idaho) | 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 John A 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 John A Johnson, DDS
420 N. Division St., P.o. Box 188,
Craigmont, ID 83523
Ph: (208) 924-5830 | Dr John A Johnson, DDS
420 N Division St.,
Craigmont, ID 83523
Ph: (208) 924-5830 |
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