CRAIG BRIAN JOHNSON DDS
NPI 1588764856
Dentist in Nisswa, MN

Q: What is Craig Johnson's NPI number?

The NPI number for Craig Johnson is 1588764856. It was assigned to this individual provider in the NPPES registry on September 25, 2006.

Q: What is Craig 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 Craig Johnson was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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 September 25, 2006PECOS Enrolled

25579 CHURCH ST, NISSWA, MN 56468(218) 963-2970(218) 963-9502 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: November 08, 2026.

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About Craig Brian Johnson Dds NPPES

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

CRAIG BRIAN JOHNSON DDS (NPI 1588764856) is an individual dentist in Nisswa, Minnesota, licensed in Minnesota (D11320) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1588764856

Entity TypeIndividualMale

Primary Taxonomy122300000X

Provider Legal NameCRAIG BRIAN JOHNSONCredential: DDS

Location Address25579 CHURCH STNisswa, MN 56468

Mailing AddressPo Box 157Nisswa, MN 56468 · (218) 963-2970 · Fax (218) 963-9502

Phone(218) 963-2970

Fax(218) 963-9502

Sole ProprietorNo

Enumeration DateSeptember 25, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1588764856 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

Licenses✔ Licensed in MN · D11320✔ Licensed in WY · 1003

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.

25579 CHURCH ST, Nisswa, MN 56468

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Other Identifiers 1

Other7479785Minnesota State Tax

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)

Craig Brian Johnson 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 56468 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

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

NISSWA DENTAL

Clinic/Center (Dental)

25579 CHURCH ST
NISSWA, MN 56468

Crow Wing County (218) 963-2970

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 Craig Johnson's NPI number?

The NPI number for Craig Johnson is 1588764856. It was assigned to this individual provider in the NPPES registry on September 25, 2006.

Where is Craig Johnson located?

Craig Johnson practices at 25579 Church St, Nisswa, MN 56468. The listed phone number is (218) 963-2970.

What is Craig Johnson's specialty?

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

Is Craig Johnson enrolled in Medicare?

Yes. Craig Johnson is registered in the Medicare PECOS enrollment system.

What insurance does Craig Johnson accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Humana list Craig 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 Craig Johnson was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.