Matthew A Johanson, DMD - Medicare Dentist in Northglenn, CO

Matthew A Johanson, DMD is a medicare enrolled "Dentist - Periodontics" provider in Northglenn, Colorado. His current practice location is 11178 Huron St, Ste 100, Northglenn, Colorado. You can reach out to his office (for appointments etc.) via phone at (303) 457-9617.

Matthew A Johanson is licensed to practice in Colorado (license number 10169) 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 1194963660.

Contact Information

Matthew A Johanson, DMD
11178 Huron St, Ste 100,
Northglenn, CO 80234-4370
(303) 457-9617
(303) 457-2405



Healthcare Provider's Profile

Full NameMatthew A Johanson
GenderMale
SpecialityDentist - Periodontics
Location11178 Huron St, Northglenn, Colorado
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1194963660
  • Provider Enumeration Date: 01/21/2009
  • Last Update Date: 11/06/2013
  Medicare PECOS Information:
  • PECOS PAC ID: 3476854811
  • Enrollment ID: I20151209000940

Medical Identifiers

Medical identifiers for Matthew A Johanson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1194963660NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1223P0300XDentist - Periodontics 10169 (Colorado)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. Matthew A Johanson 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
Matthew A Johanson, DMD
3215 Geneva St,
Denver, CO 80238-3345

Ph: (303) 868-3064
Matthew A Johanson, DMD
11178 Huron St, Ste 100,
Northglenn, CO 80234-4370

Ph: (303) 457-9617

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Dentist in Northglenn, CO

Aurora R Saddler, DDS
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 10780 Washington St, Northglenn, CO 80233
Phone: 303-452-6630    Fax: 303-252-0237
Dr. Dominic Evan Philpott, DMD
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 10780 N. Washington Ave., Northglenn, CO 80233
Phone: 303-452-6630    Fax: 303-252-0237
Dr. Tristan Collins, DDS
Dentist
Medicare: Medicare Enrolled
Practice Location: 421 W 104th Ave, Suite #201, Northglenn, CO 80234
Phone: 303-427-6462    
Robert David Jefferies, D.D.S.
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 10780 Washington St, Northglenn, CO 80233
Phone: 303-452-6630    Fax: 303-252-0237
Dr. Ryan Williams, DDS
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 421 W 104th Ave Ste 201, Northglenn, CO 80234
Phone: 303-872-5970    
Megan Elizabeth Sparks, DDS
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 100 E 120th Ave Unit C130, Northglenn, CO 80233
Phone: 720-977-9000    

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