OrganizationActive
Gary R. Johnson, D.D.S., P.C.
NPI 1366466930 · Dental Clinic/Center · Berkeley, IL
Gary R. Johnson, D.D.S., P.C. is a Dental Clinic/Center organization in Berkeley, IL (NPI 1366466930).
Provider details
- NPI number
- 1366466930
- Entity type
- Organization
- Primary specialty
- Dental Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Gary Johnson, President(708) 544-7474
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
5646 Saint Charles Rd
Suite C
Berkeley, IL 60163-1148
Phone: (708) 544-7474
Street-level locationGet directions
Mailing address
5646 Saint Charles Rd
Berkeley, IL 60163-1148
Other names (DBA / former)
- Doing business as
- Berkeley Dental Clinic
Registry dates
- Enumerated
- 2006-07-27
- Last updated
- 2015-10-26
Frequently asked questions
- What is Gary R. Johnson, D.D.S., P.C.'s NPI number?
- Gary R. Johnson, D.D.S., P.C.'s National Provider Identifier (NPI) is 1366466930, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Gary R. Johnson, D.D.S., P.C.?
- Gary R. Johnson, D.D.S., P.C. is classified in the NPPES registry as Dental Clinic/Center (Ambulatory Health Care Facilities).
- Where is Gary R. Johnson, D.D.S., P.C. located?
- Gary R. Johnson, D.D.S., P.C.'s practice location on file with NPPES is 5646 Saint Charles Rd, Berkeley, IL 60163-1148.
- What is Gary R. Johnson, D.D.S., P.C.'s phone number?
- The practice phone number listed in the NPPES registry for Gary R. Johnson, D.D.S., P.C. is (708) 544-7474.
- Who is the authorized official for Gary R. Johnson, D.D.S., P.C.?
- The authorized official listed on Gary R. Johnson, D.D.S., P.C.'s NPPES record is Gary Johnson, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Gary R. Johnson, D.D.S., P.C.'s NPI active?
- Yes — Gary R. Johnson, D.D.S., P.C.'s NPI (1366466930) is active in the NPPES registry as of the last update on 2015-10-26.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.