Ryan Darren Johnson, DMD - Medicare Dentist in Crestwood, KY

Ryan Darren Johnson, DMD is a medicare enrolled "Dentist - Periodontics" provider in Crestwood, Kentucky. His current practice location is 6704 Sumac Ridge Dr, Crestwood, Kentucky. You can reach out to his office (for appointments etc.) via phone at (505) 925-4031.

Ryan Darren Johnson is licensed to practice in Kentucky (license number 10576) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1659991370.

Contact Information

Ryan Darren Johnson, DMD
6704 Sumac Ridge Dr,
Crestwood, KY 40014-9324
(505) 925-4031
(505) 925-4030

Map and Direction




Healthcare Provider's Profile

Full NameRyan Darren Johnson
GenderMale
SpecialityDentist - Periodontics
Location6704 Sumac Ridge Dr, Crestwood, Kentucky
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1659991370
  • Provider Enumeration Date: 04/22/2020
  • Last Update Date: 07/09/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 2264852912
  • Enrollment ID: I20201019000433

Medical Identifiers

Medical identifiers for Ryan Darren Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1659991370NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
122300000XDentist 12103826-9923 (Utah)Secondary
390200000XStudent In An Organized Health Care Education/training Program (New Mexico)Secondary
390200000XStudent In An Organized Health Care Education/training Program TD-00-131 (New Mexico)Secondary
1223P0300XDentist - Periodontics 10576 (Kentucky)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. Ryan Darren Johnson is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Ryan Darren Johnson, DMD
6704 Sumac Ridge Dr,
Crestwood, KY 40014-9324

Ph: (505) 925-4031
Ryan Darren Johnson, DMD
6704 Sumac Ridge Dr,
Crestwood, KY 40014-9324

Ph: (505) 925-4031

Reviews and Comments


Dentist in Crestwood, KY

Dr. Alan R Gould, DDS, MS
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Phone: 502-241-7116    Fax: 502-241-2339
Dr. David Todd Kamer, DMD
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Practice Location: 5301 W Hwy 146, Crestwood, KY 40014
Phone: 502-243-2400    Fax: 502-243-1281
Dr. Thomas Jaggers Clark, DMD
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Practice Location: 5805 W Highway 22, Crestwood, KY 40014
Phone: 502-241-7116    Fax: 502-241-2339
Dr. Trevor K Taylor, DMD
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Medicare: Not Enrolled in Medicare
Practice Location: 6435 W Highway 146, Suite 1, Crestwood, KY 40014
Phone: 502-241-1515    Fax: 502-241-1521
Dr. Brittany Lynn Holeman, D.M.D.
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Practice Location: 8815 W Highway 22, Crestwood, KY 40014
Phone: 502-241-8856    
Dr. Adam P Weisenbarger, DDS
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Practice Location: 8815 W Highway 22, Crestwood, KY 40014
Phone: 502-241-8856    
Titus Wongk, DMD
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Medicare: Not Enrolled in Medicare
Practice Location: 6344 W Highway 146 Ste 100, Crestwood, KY 40014
Phone: 502-241-4121    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

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