Dr Matt David Johnson, DDS - Medicare Dentist in Aliso Viejo, CA

Dr Matt David Johnson, DDS is a medicare enrolled "Dentist - General Practice" provider in Aliso Viejo, California. His current practice location is 24502 Pacific Park Dr, Suite 106, Aliso Viejo, California. You can reach out to his office (for appointments etc.) via phone at (949) 831-1946.

Dr Matt David Johnson is licensed to practice in California (license number 60630) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1942580014.

Contact Information

Dr Matt David Johnson, DDS
24502 Pacific Park Dr, Suite 106,
Aliso Viejo, CA 92656-3033
(949) 831-1946
(949) 643-2077



Healthcare Provider's Profile

Full NameDr Matt David Johnson
GenderMale
SpecialityDentist - General Practice
Location24502 Pacific Park Dr, Aliso Viejo, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1942580014
  • Provider Enumeration Date: 08/22/2011
  • Last Update Date: 11/06/2012
  Medicare PECOS Information:
  • PECOS PAC ID: 5991094260
  • Enrollment ID: I20160510002490

Medical Identifiers

Medical identifiers for Dr Matt David Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1942580014NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1223G0001XDentist - General Practice 60630 (California)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Matt David Johnson is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Matt David Johnson, DDS
24502 Pacific Park Dr, Suite 106,
Aliso Viejo, CA 92656-3033

Ph: (949) 831-1946
Dr Matt David Johnson, DDS
24502 Pacific Park Dr, Suite 106,
Aliso Viejo, CA 92656-3033

Ph: (949) 831-1946

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Dentist in Aliso Viejo, CA

Dr. Bryant Dang-khoa Nguyen, DDS
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 22 Coralwind, Aliso Viejo, CA 92656
Phone: 949-468-7269    
Dr. Chitra Tiruveedula, BDS,DDS
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 26831 Aliso Creek Rd Ste 202, Aliso Viejo, CA 92656
Phone: 949-362-8523    Fax: 949-362-8525
Guitta Harb, DMD
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 26731 Aliso Creek Rd Ste 210, Aliso Viejo, CA 92656
Phone: 949-360-0225    
Mr. Reza Mohammad Birjandi, DDS
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 27066 South La Paz Rd, Aliso Viejo, CA 92656
Phone: 949-360-9700    Fax: 949-362-5182
Dr. Elise Pham, DMD
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 30 Rosy Finch Ln, Aliso Viejo, CA 92656
Phone: 949-357-3700    
Dr. Jeffry Mcghee,
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 11 Mareblu, Suite 140, Aliso Viejo, CA 92656
Phone: 949-362-5512    
Su-min Wang, D.D.S.
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 24541 Pacific Park Dr, Suite 104, Aliso Viejo, CA 92656
Phone: 949-362-9860    Fax: 949-362-4802

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