1. Home
  2. Directory
  3. Minnesota
  4. Excelsior
  5. Dentist
  6. NPI Profile

DR. MICHAEL C JOHNSON D.M.D.
NPI 1073860854
Dentist - Oral and Maxillofacial Surgery in Excelsior, MN

Active since August 10, 2012
540 LAKE ST # 1000, EXCELSIOR, MN 55331(801) 471-8311 Get Directions Write a Review

NPPES record last updated: March 11, 2021. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Mar 11, 2021, Nov 10, 2016 (2 updates tracked since 2016).

About Dr. Michael C Johnson D.m.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MICHAEL C JOHNSON D.M.D. (NPI 1073860854) is an individual oral and maxillofacial surgery provider in Excelsior, Minnesota, licensed in Minnesota (D14501) and active in the NPI registry since August 2012.

NPPES Registry Identity

NPI1073860854
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameDR. MICHAEL C JOHNSONCredential: D.M.D.
Location Address540 LAKE ST # 1000Excelsior, MN 55331-1903
Mailing Address540 Lake St # 1000Excelsior, MN 55331-1903 · (801) 471-8311
Phone(801) 471-8311
Sole ProprietorNo
Enumeration DateAugust 10, 2012
Last NPPES UpdateMarch 11, 20212 updates tracked since enumeration
NPPES CertifiedFebruary 19, 2021
✔ NPI 1073860854 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
Licenses✔ Licensed in MN · D14501✔ Licensed in WA · DE60642383
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
540 LAKE ST # 1000, Excelsior, MN 55331
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Alabama and more.Insurance ›

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Michael Johnson's NPI number?

The NPI number for Michael Johnson is 1073860854. It was assigned to this individual provider in the NPPES registry on August 10, 2012.

Where is Michael Johnson located?

Michael Johnson practices at 540 Lake St # 1000, Excelsior, MN 55331. The listed phone number is (801) 471-8311.

What is Michael Johnson's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

What insurance does Michael Johnson accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 7 other insurers list Michael Johnson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Michael Johnson was last updated on March 11, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.