P Praxis·MD
● Active Type 1 · Individual

John Joseph Johnson, DDS

Dentist·Lewiston, ID· NPI 1003189366 · Enumerated 2012 · 14 years on NPI
Johnson is 1 of 14 dentist providers in Lewiston and 1 of 591 in Idaho.
NPI age
14 years
Enumerated 2012-02-17
Primary specialty
Dentist
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2012-02-17
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 591 active dentist providers in Idaho.

NPI age
14 years
↓ 2 yr below median (16 yr)
State licenses
1 state
11% of peers hold multiple states
Subspecialties
0
17% of peers hold subspecialties

NPI lifetime · 2012 → 2026

2012-02Enumerated in NPPES
2012 2026

Where they practice

Practice location
3510 12th Street, Suite #600
Lewiston, ID 83501
📞 2087987955fax 2087987957
Mailing address
3510 12th Street, Suite #600
Lewiston, ID 83501
📞 2087987955fax 2087987957

Specialties

  • Dentist Primary
    A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two...
    ID license #D-3189 taxonomy 122300000X

Practice context

Solo or small practice. No other active providers share this practice address in NPPES.

Recently enumerated nearby: 1 new dentist provider has been added in Lewiston in the last 180 days. See all →
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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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