DR. TIMOTHY WILLIAM JOHNSON D.D.S.
NPI 1760644801
Dentist in Webster, WI

Q: What is Timothy Johnson's NPI number?

The NPI number for Timothy Johnson is 1760644801. It was assigned to this individual provider in the NPPES registry on June 30, 2008.

Q: What is Timothy Johnson's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Timothy Johnson was last updated on May 30, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.

Active since June 30, 2008PECOS Enrolled

4404 STATE ROAD 70, WEBSTER, WI 54893(715) 349-8554 Get Directions Write a Review

NPPES record last updated: May 30, 2012. Verified against the NPPES registry weekly; last sync: October 18, 2026.

On this page

About Dr. Timothy William Johnson D.d.s. NPPES

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

DR. TIMOTHY WILLIAM JOHNSON D.D.S. (NPI 1760644801) is an individual dentist in Webster, Wisconsin, licensed in Wisconsin (6271-15) and active in the NPI registry since June 2008. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1760644801

Entity TypeIndividualMale

Primary Taxonomy122300000X

Provider Legal NameDR. TIMOTHY WILLIAM JOHNSONCredential: D.D.S.

Location Address4404 STATE ROAD 70Webster, WI 54893-9251

Mailing Address4404 State Road 70Webster, WI 54893-9251 · (715) 349-8554

Phone(715) 349-8554

Sole ProprietorNo

Enumeration DateJune 30, 2008

Last NPPES UpdateMay 30, 2012

✔ NPI 1760644801 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in WI · 6271-15

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.

4404 STATE ROAD 70, Webster, WI 54893

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Delta Dental of Wisconsin, Inc., Humana.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Timothy William Johnson 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.

Medicare Billing Reassignment

Medicare enrollment records show Timothy Johnson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

St. Croix Tribal Council

0.2 mi

Federally Qualified Health Center (FQHC)

4404 STATE ROAD 70
Webster, WI 54893

Reassigned Medicare billing, Wisconsin enrollment
13 clinicians in this Medicare group

NPI 1831170091 (715) 349-8554

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54893 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

$82.92 typical visit price

range $53.90 – $163.24

Typical copayment $20.73 (range $13.47 – $40.81)

Most-billed visit code 99203

Established Patient

$67.37 typical visit price

range $17.40 – $133.76

Typical copayment $16.84 (range $4.35 – $33.44)

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.

ST. CROIX TRIBAL COUNCIL

Dentist (General Practice)