DR. ROBERT ALEXANDER JOHNSON DMD
NPI 1093200826
Dentist in Cloquet, MN

Q: What is Robert Johnson's NPI number?

The NPI number for Robert Johnson is 1093200826. It was assigned to this individual provider in the NPPES registry on June 25, 2018.

Q: What is Robert Johnson's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Q: When was this NPI record last updated?

The NPPES record for Robert Johnson was last updated on August 21, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.

Active since June 25, 2018PECOS Enrolled

927 TRETTEL LN, CLOQUET, MN 55720(218) 879-1227(218) 878-2168 Get Directions Write a Review

NPPES record last updated: August 21, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 21, 2018, Jun 25, 2018 (2 updates tracked since 2018).

On this page

About Dr. Robert Alexander Johnson Dmd NPPES

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

DR. ROBERT ALEXANDER JOHNSON DMD (NPI 1093200826) is an individual dentist in Cloquet, Minnesota, licensed in Minnesota (D14071) and active in the NPI registry since June 2018. He is enrolled in Medicare PECOS and maintains a secondary practice location in Duluth.

NPPES Registry Identity

NPI1093200826

Entity TypeIndividualMale

Primary Taxonomy122300000X

Provider Legal NameDR. ROBERT ALEXANDER JOHNSONCredential: DMD

Location Address927 TRETTEL LNCloquet, MN 55720

Mailing Address1225 E 1st StDuluth, MN 55805-2402 · (218) 728-6445 · Fax (218) 724-7003

Phone(218) 879-1227

Fax(218) 878-2168

Sole ProprietorNo

Enumeration DateJune 25, 2018

Last NPPES UpdateAugust 21, 20182 updates tracked since enumeration

✔ NPI 1093200826 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in MN · D14071

Definition

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 degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

927 TRETTEL LN, Cloquet, MN 55720

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Secondary Practice Location 1

Location 11225 E 1st StDuluth, MN 55805-2402 · Phone (218) 728-6445 · Fax (218) 724-7003

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Robert Alexander Johnson Dmd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55720 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$85.82 typical visit price

range $56.00 – $168.28

Typical copayment $21.45 (range $14.00 – $42.07)

Most-billed visit code 99203

Established Patient

$69.74 typical visit price

range $18.32 – $138.04

Typical copayment $17.43 (range $4.58 – $34.51)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

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