Richard Lee Johnson, DDS, MD

Primary specialty

Oral & Maxillofacial Surgery (D.M.D.)Taxonomy code 204E00000X

License

MD0000035690 Issued in TN

Practice address

82 Medical Group/Credentials
149 Hart Street
Sheppard Afb, TX 76311-3482

Phone

(940) 676-2003

NPI assigned

Dec 16, 2005

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Childress & Meyer, PLLC

  • Oral and Maxillofacial Surgery (Dentist)
  • Chattanooga, TN
  • NPI 1851691281
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1134691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1174509665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5110 CROWN RIDGE DR",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763101768",
            "telephone_number": "940-689-8896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "82 MEDICAL GROUP/CREDENTIALS",
            "address_2": "149 HART STREET",
            "city": "SHEPPARD AFB",
            "state": "TX",
            "postal_code": "763113482",
            "telephone_number": "940-676-2003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "RICHARD",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "DDS, MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-16",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "TN",
            "license": "DS0000005348",
            "primary": false
        },
        {
            "code": "204E00000X",
            "taxonomy_group": "",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "TN",
            "license": "MD0000035690",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lacy Dee Hylton, DMD
• Alhaji M Jalloh
• Benjamin Keith Johnson, MD
• Jacob Lynn Johnson, DMD
• Larry Steven Johnson, M.S.W., L.C.S.W.
• Raquel N. Karagines, APRN
• Michelle Rae Kastler, PT
• Robert Burrows Kelsey Jr., CRNA
• Brandon William Keyser, DMD
• Terry L Kirkland, O.D.

• Oral & Maxillofacial Surgery (D.M.D.) in Sheppard Afb, TX
• Providers in Sheppard Afb, TX by specialty
• Oral & Maxillofacial Surgery (D.M.D.) in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.