Robert Kirk Johnson, DSS

Primary specialty

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

License

9044 Issued in NC

Practice address

93 Aviemore Dr
Pinehurst, NC 28374-9797

Phone

(910) 295-8088

Fax

(910) 295-8855

NPI assigned

Sep 20, 2005

Last updated

Dec 14, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

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

Specialty

Oral SurgeryAlso: Maxillofacial Surgery

Education

University of Maryland School of Medicine, 1977

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

John F Neely DMD PAGroup PAC ID 7012911860, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• John F Neely DMD PA

  • Oral and Maxillofacial Surgery (Dentist)
  • Pinehurst, NC
  • NPI 1043243124
  Medicare reassignment Care Compare group NPD
• Gary T. Jones DMD PA

  • Oral and Maxillofacial Surgery (Dentist)
  • Pinehurst, NC
  • NPI 1356362065
  NPD (past)
• Mitcherling,Mitcherling & Johnson P.a.

  • Oral and Maxillofacial Surgery (Dentist)
  • Baltimore, MD
  • NPI 1376740365
  NPD (past)

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

{
    "created_epoch": "1127174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702512000000",
    "number": "1467448092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "93 AVIEMORE DR",
            "city": "PINEHURST",
            "state": "NC",
            "postal_code": "283749797",
            "telephone_number": "910-295-8088",
            "fax_number": "910-295-8855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "93 AVIEMORE DR",
            "city": "PINEHURST",
            "state": "NC",
            "postal_code": "283749797",
            "telephone_number": "910-295-8088",
            "fax_number": "910-295-8855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "ROBERT",
        "middle_name": "KIRK",
        "name_prefix": "Dr.",
        "credential": "DSS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-20",
        "last_updated": "2023-12-14",
        "certification_date": "2023-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204E00000X",
            "taxonomy_group": "",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "NC",
            "license": "9044",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher McLaurin Johnson, M.D.
• Danielle P Johnson
• Jeanette R Johnson, DPM
• Jon Johnson
• Nia Johnson
• Scott J. Johnson, MD
• Tanya Johnson
• Rebecca Ann Johnston, PA-C
• Jonathan Brower MD PLLC
• Daijah Jones

• Oral & Maxillofacial Surgery (D.M.D.) in Pinehurst, NC
• Providers in Pinehurst, NC by specialty
• Oral & Maxillofacial Surgery (D.M.D.) in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2023; 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.

Verify at the official NPI Registry.