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DR. LISA MARI JOHNSON DDS
NPI 1730242215
Dentist - General Practice in Grand Rapids, MN

Active since December 18, 2006PECOS Enrolled
1015 NW 4TH ST, GRAND RAPIDS, MN 55744(218) 326-0339(218) 326-6210 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Dr. Lisa Mari Johnson Dds NPPES

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

DR. LISA MARI JOHNSON DDS (NPI 1730242215) is an individual general practice provider in Grand Rapids, Minnesota, licensed in Minnesota (11285) and active in the NPI registry since December 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1730242215
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameDR. LISA MARI JOHNSONCredential: DDS
Location Address1015 NW 4TH STGrand Rapids, MN 55744
Mailing Address1015 Nw 4th StGrand Rapids, MN 55744 · (218) 326-0339 · Fax (218) 326-6210
Phone(218) 326-0339
Fax(218) 326-6210
Sole ProprietorNo
Enumeration DateDecember 18, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1730242215 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 · 11285
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.
1015 NW 4TH ST, Grand Rapids, MN 55744
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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. Lisa Mari 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 55744 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.

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 Lisa Johnson's NPI number?

The NPI number for Lisa Johnson is 1730242215. It was assigned to this individual provider in the NPPES registry on December 18, 2006.

Where is Lisa Johnson located?

Lisa Johnson practices at 1015 NW 4th St, Grand Rapids, MN 55744. The listed phone number is (218) 326-0339.

What is Lisa Johnson's specialty?

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

Is Lisa Johnson enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Lisa 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.