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DR. SALLY A JOHNSON DDS
NPI 1609979103
Dentist - General Practice in Coon Rapids, MN

Active since September 07, 2006PECOS Enrolled
11475 ROBINSON DR NW, COON RAPIDS, MN 55433(763) 754-0041(763) 754-4506 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Sally A Johnson Dds NPPES

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

DR. SALLY A JOHNSON DDS (NPI 1609979103) is an individual general practice provider in Coon Rapids, Minnesota, licensed in Minnesota (10193) and active in the NPI registry since September 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1609979103
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameDR. SALLY A JOHNSONCredential: DDS
Location Address11475 ROBINSON DR NWCoon Rapids, MN 55433
Mailing AddressPo Box 1309, Mail Code 21113aMinneapolis, MN 55440-1309 · (952) 883-5151 · Fax (952) 883-5160
Phone(763) 754-0041
Fax(763) 754-4506
Sole ProprietorNo
Enumeration DateSeptember 7, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1609979103 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 · 10193
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.
11475 ROBINSON DR NW, Coon Rapids, MN 55433
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Humana.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. Sally A 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 55433 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.

GROUP HEALTH PLAN INC
Durable Medical Equipment & Medical Supplies
11475 ROBINSON DR NW
COON RAPIDS, MN 55433
Anoka County (952) 883-7469
REBECCA MAY MCDOUGLE M.D.
Family Medicine
11475 ROBINSON DR NW
COON RAPIDS, MN 55433
Anoka County (763) 587-9000
SUZANNE L SCHINZEL CNP
Nurse Practitioner
11475 ROBINSON DR NW
COON RAPIDS, MN 55433
Anoka County (763) 712-6000
RICHARD ALAN WANDERSEE MSW LICSW
Social Worker (Clinical)
11475 ROBINSON DR NW, MAIL STOP 32600A
COON RAPIDS, MN 55433
Anoka County (763) 754-4600
LAURA MAYER MD
Obstetrics & Gynecology
11475 ROBINSON DR NW
COON RAPIDS, MN 55433
Anoka County (763) 587-9000
KELSEY AMELIA BERTELSEN DO
Obstetrics & Gynecology
11475 ROBINSON DR NW, MS 32600A
COON RAPIDS, MN 55433
Anoka County (763) 587-9000
GROUP HEALTH PLAN INC
Dentist (General Practice)
11475 ROBINSON DR NW
COON RAPIDS, MN 55433
Anoka County (763) 754-0041
PAMELA JILL COLLINS WHNP
Nurse Practitioner
11475 ROBINSON DR NW, MAIL STOP 32600A
COON RAPIDS, MN 55433
Anoka County (763) 754-4600

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 Sally Johnson's NPI number?

The NPI number for Sally Johnson is 1609979103. It was assigned to this individual provider in the NPPES registry on September 7, 2006.

Where is Sally Johnson located?

Sally Johnson practices at 11475 Robinson Dr NW, Coon Rapids, MN 55433. The listed phone number is (763) 754-0041.

What is Sally Johnson's specialty?

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

Is Sally Johnson enrolled in Medicare?

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

What insurance does Sally Johnson accept?

Health plans from Humana list Sally 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 Sally 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.