Active NPI
Dennis William Johnson, M.D.,
- Family Medicine Physician
- Albany, OR
National Provider Identifier
1245201003
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- A74423
- Practice address
- 1050 29TH Ave SW
Albany, OR 97321-3416 - Phone
- (541) 926-4828
- Fax
- (541) 926-4891
- NPI assigned
- Jan 30, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | A74423 | CA | Primary |
Addresses
Primary practice location
1050 29TH Ave SW
Albany, OR 97321-3416
Mailing address
1050 29TH Ave SW
Albany, OR 97321-3416
Phone (541) 926-4828
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Loma Linda University School of Medicine, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
38829 N Main St
Scio, OR 97374-9301
Phone (503) 394-3633
Hospital & facility affiliations
- Samaritan Albany General Hospital
- Samaritan Lebanon Community Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| East Meets West Medical LLC | Family Medicine | Current | Accepting new patients |
Locations
1050 29th Ave SW
Albany, OR 97321
Phone (541) 926-4828
38829 N Main St
Scio, OR 97374
Phone (503) 394-3633
Interoperability endpoints
- midwillamettefamilymedicine.dennisjohnson@123718.advancedmd-direct.com
Organizations & group practices 1
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.
-
- Family Medicine Physician
- Scio, OR
- NPI 1437440708
Hospital & facility affiliations 32
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Albany, OR
- NPI 1154372340
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Albany, OR
- NPI 1326755158
Hospital
-
- Endocrinology, Diabetes & Metabolism Physician
- Albany, OR
- NPI 1346620408
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138579200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1422403200000",
"number": "1245201003",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1050 29TH AVE SW",
"city": "ALBANY",
"state": "OR",
"postal_code": "973213416",
"telephone_number": "541-926-4828",
"fax_number": "541-926-4891"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1050 29TH AVE SW",
"city": "ALBANY",
"state": "OR",
"postal_code": "973213416",
"telephone_number": "541-926-4828",
"fax_number": "541-926-4891"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "DENNIS",
"middle_name": "WILLIAM",
"name_prefix": "Dr.",
"credential": "M.D.,",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-30",
"last_updated": "2015-01-28",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "A74423",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Albany, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2015; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.