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DR. DARREL HOWARD JOHNSRUD D.D.S.
NPI 1639244650
Dentist - General Practice in Maple Grove, MN

Active since November 22, 2006PECOS Enrolled
13998 MAPLE KNOLL WAY, #100, MAPLE GROVE, MN 55369(763) 420-5599(763) 416-4771 Get Directions Write a Review

NPPES record last updated: January 7, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Darrel Howard Johnsrud D.d.s. NPPES

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

DR. DARREL HOWARD JOHNSRUD D.D.S. (NPI 1639244650) is an individual general practice provider in Maple Grove, Minnesota, licensed in Minnesota (D9764) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1639244650
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. DARREL HOWARD JOHNSRUDCredential: D.D.S.
Location Address13998 MAPLE KNOLL WAY, #100Maple Grove, MN 55369-7004
Mailing Address13998 Maple Knoll Way, #100Maple Grove, MN 55369-7004 · (763) 420-5599 · Fax (763) 416-4771
Phone(763) 420-5599
Fax(763) 416-4771
Sole ProprietorNo
Enumeration DateNovember 22, 2006
Last NPPES UpdateJanuary 7, 2015
✔ NPI 1639244650 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 · D9764
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.
13998 MAPLE KNOLL WAY, Maple Grove, MN 55369
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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, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana 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. Darrel Howard Johnsrud D.d.s. 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 55369 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 7

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

DR. SCOTT KOTTEMANN
Dentist (Orthodontics and Dentofacial Orthopedics)
13998 MAPLE KNOLL WAY, SUITE 102
MAPLE GROVE, MN 55369
Hennepin County (763) 420-6834
KOTTEMANN ORTHODONTICS PA
Dentist (Orthodontics and Dentofacial Orthopedics)
13998 MAPLE KNOLL WAY, SUITE 102
MAPLE GROVE, MN 55369
Hennepin County (763) 420-6834
PIPE TRADE HEALTHCARE SERVICES
Clinic/Center (Primary Care)
13998 MAPLE KNOLL WAY
MAPLE GROVE, MN 55369
Hennepin County (651) 348-8851
DR. IVAN P STREIF D.D.S.
Dentist (Periodontics)
13998 MAPLE KNOLL WAY
MAPLE GROVE, MN 55369
Hennepin County (763) 420-3537
VENETIA LAGANIS, DDS, PA
Dentist (Pediatric Dentistry)
13998 MAPLE KNOLL WAY, SUITE 101
MAPLE GROVE, MN 55369
Hennepin County (763) 420-2610
MAXILLOFACIAL IMAGING LLC
Clinic/Center (Radiology)
13998 MAPLE KNOLL WAY, MAPLE GROVE PROFESSIONAL BLD SUITE LL105
MAPLE GROVE, MN 55369
Hennepin County (763) 420-0070
DR. VENETIA LAGANIS D.D.S., M.S.
Dentist (Pediatric Dentistry)
13998 MAPLE KNOLL WAY, STE 101
MAPLE GROVE, MN 55369
Hennepin County (763) 420-2610

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 Darrel Johnsrud's NPI number?

The NPI number for Darrel Johnsrud is 1639244650. It was assigned to this individual provider in the NPPES registry on November 22, 2006.

Where is Darrel Johnsrud located?

Darrel Johnsrud practices at 13998 Maple Knoll Way #100, Maple Grove, MN 55369. The listed phone number is (763) 420-5599.

What is Darrel Johnsrud's specialty?

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

Is Darrel Johnsrud enrolled in Medicare?

Yes. Darrel Johnsrud is registered in the Medicare PECOS enrollment system.

What insurance does Darrel Johnsrud accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 3 other insurers list Darrel Johnsrud 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 Darrel Johnsrud was last updated on January 7, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.