Tessa Jean Johnson, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

Practice address

1415 Vermont St
Quincy, IL 62301-3119

Phone

(217) 223-5611

Fax

(217) 223-5650

NPI assigned

Mar 23, 2006

Last updated

Jul 13, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Hancock County Health Department

  • Public Health or Welfare Agency
  • Carthage, IL
  • NPI 1225086697
  NPD (past)

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

{
    "created_epoch": "1143072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1487613816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1415 VERMONT ST",
            "city": "QUINCY",
            "state": "IL",
            "postal_code": "623013119",
            "telephone_number": "217-223-5611",
            "fax_number": "217-223-5650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1415 VERMONT ST",
            "city": "QUINCY",
            "state": "IL",
            "postal_code": "623013119",
            "telephone_number": "217-223-5611",
            "fax_number": "217-223-5650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "TESSA",
        "middle_name": "JEAN",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-23",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9177134",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• JNCK PC (Kvitle Eye Care Associates)
• James Edward Johnson III, D.C.
• Lee Roy W Johnson, MD
• Linda M Johnson, M.D.
• Robert C Johnson, MD
• Bruce H Jones
• Gracie Isabella Jones
• Myron B Jones, MD
• Sharon Jones, MSPT
• Joshua J Statler Counseling Services LLC

• Dentist in Quincy, IL
• Providers in Quincy, IL by specialty
• Dentist in Illinois

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.