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

DR. TIMOTHY JOHN ISAACSON D.D.S.
NPI 1396817482
Dentist - General Practice in Bloomington, MN

Active since November 14, 2006Opted out of Medicare · through Dec 8, 2026
4200 W OLD SHAKOPEE RD, SUITE 223, BLOOMINGTON, MN 55437(952) 881-8404(952) 881-9520 Get Directions Write a Review

NPPES record last updated: July 21, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Timothy John Isaacson D.d.s. NPPES

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

DR. TIMOTHY JOHN ISAACSON D.D.S. (NPI 1396817482) is an individual general practice provider in Bloomington, Minnesota, licensed in Minnesota (11656) and active in the NPI registry since November 2006. He has opted out of Medicare through December 8, 2026 and remains eligible to order and refer.

NPPES Registry Identity

NPI1396817482
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. TIMOTHY JOHN ISAACSONCredential: D.D.S.
Location Address4200 W OLD SHAKOPEE RD, SUITE 223Bloomington, MN 55437-2976
Mailing Address5270 W 84th St Ste 360Bloomington, MN 55437-1377 · (161) 224-9688 · Fax (952) 881-9520
Phone(952) 881-8404
Fax(952) 881-9520
Sole ProprietorNo
Enumeration DateNovember 14, 2006
Last NPPES UpdateJuly 21, 2021
NPPES CertifiedJuly 21, 2021
✔ NPI 1396817482 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in MN · 11656
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
4200 W OLD SHAKOPEE RD, Bloomington, MN 55437
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Combined Life, Humana.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Timothy John Isaacson D.d.s. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from December 8, 2010 through December 8, 2026.

Opt-Out Effective DateDecember 8, 2010
Opt-Out In Effect ThroughDecember 8, 2026Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55437 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 4

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

DR. KRIS J KALENDA DDS
Dentist
4200 W OLD SHAKOPEE RD, SUITE 221
BLOOMINGTON, MN 55437
Hennepin County (952) 881-0201
PDG,P.A.
Dentist (General Practice)
4200 W OLD SHAKOPEE RD, SUITE 100
BLOOMINGTON, MN 55437
Hennepin County (952) 831-6126
DR. EDMUND THEIS D.D.S.
Dentist (General Practice)
4200 W OLD SHAKOPEE RD, SUITE 223
BLOOMINGTON, MN 55437
Hennepin County (952) 881-8404
DR. DANA JOHN ISAACSON D.D.S.
Dentist (General Practice)
4200 W OLD SHAKOPEE RD, SUITE 223
BLOOMINGTON, MN 55437
Hennepin County (952) 881-8404

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 Timothy Isaacson's NPI number?

The NPI number for Timothy Isaacson is 1396817482. It was assigned to this individual provider in the NPPES registry on November 14, 2006.

Where is Timothy Isaacson located?

Timothy Isaacson practices at 4200 W Old Shakopee Rd Suite 223, Bloomington, MN 55437. The listed phone number is (952) 881-8404.

What is Timothy Isaacson's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Timothy Isaacson enrolled in Medicare?

No. Timothy Isaacson has opted out of Medicare through December 8, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does Timothy Isaacson accept?

Health plans from Florida Combined Life and Humana list Timothy Isaacson 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 Timothy Isaacson was last updated on July 21, 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.