1. Home
  2. Directory
  3. Minnesota
  4. Stillwater
  5. Dentist
  6. NPI Profile

MR. DANIEL THEODORE JOHNSON JR. DDS
NPI 1922160332
Dentist in Stillwater, MN

Active since December 14, 2006Opted out of Medicare · through Sep 1, 2026
5995 OREN AVE NORTH, SUITE 101, STILLWATER, MN 55082(651) 439-7071(651) 439-0500 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Daniel Theodore Johnson Jr. Dds NPPES

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

MR. DANIEL THEODORE JOHNSON JR. DDS (NPI 1922160332) is an individual dentist in Stillwater, Minnesota, licensed in Minnesota (D10105) and active in the NPI registry since December 2006. He has opted out of Medicare through September 1, 2026 and remains eligible to order and refer.

NPPES Registry Identity

NPI1922160332
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameMR. DANIEL THEODORE JOHNSON JR.Credential: DDS
Location Address5995 OREN AVE NORTH, SUITE 101Stillwater, MN 55082-5302
Mailing Address5995 Oren Ave North, Suite 101Stillwater, MN 55082-5302 · (651) 439-7071 · Fax (651) 439-0500
Phone(651) 439-7071
Fax(651) 439-0500
Sole ProprietorNo
Enumeration DateDecember 14, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1922160332 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in MN · D10105
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.
5995 OREN AVE NORTH, Stillwater, MN 55082
Open in Google Maps ↗

Other Names 1

Professional Name (2)Ted Johnson Dds

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Mr. Daniel Theodore Johnson Jr. Dds 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 September 1, 2016 through September 1, 2026.

Opt-Out Effective DateSeptember 1, 2016
Opt-Out In Effect ThroughSeptember 1, 2026Opt-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 55082 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 Daniel Johnson's NPI number?

The NPI number for Daniel Johnson is 1922160332. It was assigned to this individual provider in the NPPES registry on December 14, 2006. The provider is also known as Ted Johnson Dds.

Where is Daniel Johnson located?

Daniel Johnson practices at 5995 Oren Ave North Suite 101, Stillwater, MN 55082. The listed phone number is (651) 439-7071.

What is Daniel Johnson's specialty?

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

Is Daniel Johnson enrolled in Medicare?

No. Daniel Johnson has opted out of Medicare through September 1, 2026. 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 Daniel 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.