DR. STEPHEN DRANNEN JOHNSON D.D.S.
NPI 1730141458
Dentist - General Practice in Duluth, MN

Active since April 06, 2006Opted out of Medicare · through Feb 2, 2028
324 W SUPERIOR ST, MEDICAL ARTS BUILDING SUITE 930, DULUTH, MN 55802(218) 727-5041(218) 720-6974 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Stephen Drannen Johnson D.d.s. NPPES

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

DR. STEPHEN DRANNEN JOHNSON D.D.S. (NPI 1730141458) is an individual general practice provider in Duluth, Minnesota, licensed in Minnesota (D9082) and active in the NPI registry since April 2006. He has opted out of Medicare through February 2, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1730141458
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. STEPHEN DRANNEN JOHNSONCredential: D.D.S.
Location Address324 W SUPERIOR ST, MEDICAL ARTS BUILDING SUITE 930Duluth, MN 55802-1701
Mailing Address324 W Superior St, Medical Arts Building Suite 930Duluth, MN 55802-1701 · (218) 727-5041 · Fax (218) 720-6974
Fax(218) 720-6974
Sole ProprietorYes
Enumeration DateApril 6, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1730141458 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 · D9082
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.

324 W SUPERIOR ST, Duluth, MN 55802

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. Stephen Drannen Johnson 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 February 2, 2016 through February 2, 2028.

Opt-Out Effective DateFebruary 2, 2016
Opt-Out In Effect ThroughFebruary 2, 2028Opt-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 55802 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.

Dentist (Oral and Maxillofacial Surgery)
324 W SUPERIOR ST, STE 720
DULUTH, MN 55802
Podiatrist
324 W SUPERIOR ST, STE 408
DULUTH, MN 55802
Internal Medicine
324 W SUPERIOR ST, SUITE 220
DULUTH, MN 55802
Dentist (General Practice)
324 W SUPERIOR ST, STE 404
DULUTH, MN 55802
Dentist (General Practice)
324 W SUPERIOR ST, SUITE 1111
DULUTH, MN 55802
Dentist (General Practice)
324 W SUPERIOR ST, SUITE 700
DULUTH, MN 55802
Podiatrist (Foot Surgery)
324 W SUPERIOR ST, STE 517
DULUTH, MN 55802
Dentist (Orthodontics and Dentofacial Orthopedics)
324 W SUPERIOR ST, SUITE 100
DULUTH, MN 55802

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 Stephen Johnson's NPI number?

The NPI number for Stephen Johnson is 1730141458. It was assigned to this individual provider in the NPPES registry on April 6, 2006.

Where is Stephen Johnson located?

Stephen Johnson practices at 324 W Superior St Medical Arts Building Suite 930, Duluth, MN 55802. The listed phone number is (218) 727-5041.

What is Stephen Johnson's specialty?

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

Is Stephen Johnson enrolled in Medicare?

No. Stephen Johnson has opted out of Medicare through February 2, 2028. 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.

When was this NPI record last updated?

The NPPES record for Stephen Johnson was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.