CHADWICK AARON JOHNSON (DDS) – Dentist, NPI 1508978602
Dentist
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for CHADWICK AARON JOHNSON (DDS)
Greenleaf Tobacco & Vape, 3710, Merle Hay Road, Des Moines, Polk County, Iowa, 50310, United States
DES MOINES, IA 50310
Phone: (515) 255-5122
Fax: (515) 270-1646
Type: Location
316, Guaracara Tabaquite Road, WilliamsVille, Couva-Tabaquite-Talparo, Trinidad and Tobago
WILLIAMSVILLE, NY 14231
Phone: (716) 204-4999
Fax: (716) 632-2963
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 4 Open Payments records for all available years, with a total value of $136.
Total Amount is formed as General ($136) + Research ($0) + Ownership ($0) = $136.
Last reported payment date: 2024-12-05 • Largest payer in this snapshot: A-dec, Inc. ($56).
Total Amount
$136
General + Research + Ownership
Payments
4
Total payment records
General Amount
$136
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-05
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| A-dec, Inc. | $56 |
| Straumann USA LLC | $45 |
| Align Technology, Inc. | $35 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2015-12-21
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20151221001031 | I | Oral Surgery | IA | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 50310)
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