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DR. WILLIAM ANDREW JOHNSON DDS
NPI 1609988773
Dentist in Saint Paul, MN

Active since August 31, 2006PECOS Enrolled
1630 UNIVERSITY AVE W, SAINT PAUL, MN 55104(651) 645-4671 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. William Andrew Johnson Dds NPPES

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

DR. WILLIAM ANDREW JOHNSON DDS (NPI 1609988773) is an individual dentist in Saint Paul, Minnesota, licensed in Minnesota (10853) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1609988773
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDR. WILLIAM ANDREW JOHNSONCredential: DDS
Location Address1630 UNIVERSITY AVE WSaint Paul, MN 55104-3887
Mailing Address2330 Hand AveRoseville, MN 55113-4743 · (651) 486-0003
Phone(651) 645-4671
Sole ProprietorNo
Enumeration DateAugust 31, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1609988773 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in MN · 10853
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.
1630 UNIVERSITY AVE W, Saint Paul, MN 55104
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Alabama 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. William Andrew 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 55104 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 3

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

DR. ROBERT WALLACE GLINEBURG DDS
Dentist (Oral and Maxillofacial Surgery)
1630 UNIVERSITY AVE W, SUITE 104
SAINT PAUL, MN 55104
Ramsey County (651) 646-9474
DANIEL SKAAR
Dentist (Periodontics)
1630 UNIVERSITY AVE W
SAINT PAUL, MN 55104
Ramsey County (651) 645-4671
DR. JAMSHID MAHMOODI D.D.S
Dentist
1630 UNIVERSITY AVE W
SAINT PAUL, MN 55104
Ramsey County (651) 645-4671

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 William Johnson's NPI number?

The NPI number for William Johnson is 1609988773. It was assigned to this individual provider in the NPPES registry on August 31, 2006.

Where is William Johnson located?

William Johnson practices at 1630 University Ave W, Saint Paul, MN 55104. The listed phone number is (651) 645-4671.

What is William Johnson's specialty?

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

Is William Johnson enrolled in Medicare?

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

What insurance does William Johnson accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 6 other insurers list William 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 William 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.