Brett Colter Johnson I, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

100870 Issued in AK

Practice address

1000 E Dimond Blvd Ste 210
Anchorage, AK 99515-2029

Phone

(907) 278-6684

Fax

(907) 279-1779

NPI assigned

Jun 26, 2015

Sex

Male

Sole proprietor

Yes

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 TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

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 and National Provider Directory roles.

• Alaska Complete Dentistry LLC

  • Dentist
  • Anchorage, AK
  • NPI 1174350086
  NPD Authorized official
• Caroline Curtis DMD PC

  • Dental Clinic/Center
  • Eagle River, AK
  • NPI 1376051797
  NPD (past)

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

{
    "created_epoch": "1435276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1962884825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 E DIMOND BLVD STE 210",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995152029",
            "telephone_number": "907-278-6684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 E DIMOND BLVD STE 210",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995152029",
            "telephone_number": "907-278-6684",
            "fax_number": "907-279-1779"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16635 Centerfield Dr",
            "address_2": "#207",
            "address_purpose": "LOCATION",
            "city": "Eagle River",
            "state": "AK",
            "postal_code": "995777745",
            "country_code": "US",
            "telephone_number": "907-694-5207",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "BRETT",
        "middle_name": "COLTER",
        "name_prefix": "Dr.",
        "name_suffix": "I",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-06-26",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AK",
            "license": "100870",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angene Johnson
• Anthony Christopher Johnson
• Aracya Ragelena Johnson
• Austin Johnson
• Bella Johnson
• Charlotte Johnson
• Colleen Rose Johnson, LPC
• Darlene Kawennano:Ron Johnson
• Deanna R Johnson, M.D.
• Debbra Johnson

• Dentist in Anchorage, AK
• Providers in Anchorage, AK by specialty
• Dentist in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.