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DR. NATHAN M JOHANNSSON DDS
NPI 1093869216
Dentist in Wentzville, MO

Active since January 23, 2007PECOS Enrolled
246 LONEPINE DR, WENTZVILLE, MO 63385(480) 842-1799 Get Directions Write a Review

NPPES record last updated: November 14, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Nathan M Johannsson Dds NPPES

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

DR. NATHAN M JOHANNSSON DDS (NPI 1093869216) is an individual dentist in Wentzville, Missouri, licensed in Missouri (2024024142) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1093869216
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDR. NATHAN M JOHANNSSONCredential: DDS
Location Address246 LONEPINE DRWentzville, MO 63385-3504
Mailing Address246 Lonepine DrWentzville, MO 63385-3504 · (480) 842-1799
Phone(480) 842-1799
Sole ProprietorNo
Enumeration DateJanuary 23, 2007
Last NPPES UpdateNovember 14, 2025
NPPES CertifiedNovember 14, 2025
✔ NPI 1093869216 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in MO · 2024024142
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.
246 LONEPINE DR, Wentzville, MO 63385
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, BEST Life, Blue Cross and Blue Shield of Montana and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Nathan M Johannsson Dds 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.

Medicare Billing Reassignment

Medicare enrollment records show Nathan Johannsson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Aria Dental Care PC
205 mi
Dentist
8500 W 110TH ST STE 260
Overland Park, KS 66210
  • Reassigned Medicare billing, Missouri enrollment
  • 15 clinicians in this Medicare group
NPI 1942977632 (877) 674-1211

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63385 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
$86.32 typical visit price
range $55.65 – $169.38
Typical copayment $21.58 (range $13.91 – $42.34)
Most-billed visit code 99203
Established Patient
$69.50 typical visit price
range $17.76 – $137.92
Typical copayment $17.37 (range $4.44 – $34.48)
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.

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 Nathan Johannsson's NPI number?

The NPI number for Nathan Johannsson is 1093869216. It was assigned to this individual provider in the NPPES registry on January 23, 2007.

Where is Nathan Johannsson located?

Nathan Johannsson practices at 246 Lonepine Dr, Wentzville, MO 63385. The listed phone number is (480) 842-1799.

What is Nathan Johannsson's specialty?

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

Is Nathan Johannsson enrolled in Medicare?

Yes. Nathan Johannsson is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Nathan Johannsson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nathan Johannsson reassigns Medicare benefits to Aria Dental Care PC (Overland Park, KS). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Nathan Johannsson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Nathan Johannsson accept?

Health plans from Ambetter from Arizona Complete Health, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 8 other insurers list Nathan Johannsson 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 Nathan Johannsson was last updated on November 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.