TRAVIS ALLAN JOHNSON D.D.S.
NPI 1841637295
Dentist - Oral and Maxillofacial Surgery in Woodbury, MN

Active since May 24, 2013PECOS EnrolledAccepts Medicare Assignment
9950 VALLEY CREEK RD STE 100, WOODBURY, MN 55125(651) 578-7000(651) 578-0157 Get Directions Write a Review

NPPES record last updated: May 19, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 19, 2020, Jun 10, 2019 (2 updates tracked since 2019).

About Travis Allan Johnson D.d.s. NPPES

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

TRAVIS ALLAN JOHNSON D.D.S. (NPI 1841637295) is an individual oral and maxillofacial surgery provider in Woodbury, Minnesota, licensed in Minnesota (D13205) and active in the NPI registry since May 2013. He is enrolled in Medicare PECOS, maintains 3 additional practice locations, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1841637295
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameTRAVIS ALLAN JOHNSONCredential: D.D.S.
Location Address9950 VALLEY CREEK RD STE 100Woodbury, MN 55125-5803
Mailing Address9950 Valley Creek Rd Ste 100Woodbury, MN 55125-5803 · (651) 578-7000 · Fax (651) 578-0157
Fax(651) 578-0157
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateMay 24, 2013
Last NPPES UpdateMay 19, 20202 updates tracked since enumeration
NPPES CertifiedMay 19, 2020
NPI 1841637295 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License Licensed in MN · D13205
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
9950 VALLEY CREEK RD STE 100, Woodbury, MN 55125

Secondary Practice Locations 3

Location 1750 Main St Ste 203Mendota Heights, MN 55118-3767 · Phone (651) 451-1873
Location 21420 Lake St S Ste 200Forest Lake, MN 55025-2713 · Phone (651) 578-7000
Location 31560 Beam Ave Ste EMaplewood, MN 55109-1171 · Phone (651) 578-7000

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Travis Allan Johnson D.d.s. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5597196717
PECOS Enrollment IDI20200504000200
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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
14 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55125 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

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

Dentist (Oral and Maxillofacial Surgery)
9950 VALLEY CREEK RD STE 100
WOODBURY, MN 55125

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 Travis Johnson's NPI number?

The NPI number for Travis Johnson is 1841637295. It was assigned to this individual provider in the NPPES registry on May 24, 2013.

Where is Travis Johnson located?

Travis Johnson practices at 9950 Valley Creek Rd Ste 100, Woodbury, MN 55125. The listed phone number is (651) 578-7000.

What is Travis Johnson's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Is Travis Johnson enrolled in Medicare?

Yes. Travis Johnson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Travis Johnson accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 6 other insurers list Travis 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 Travis Johnson was last updated on May 19, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.