DR. SALLY A JOHNSON DDS
NPI 1609979103
Dentist - General Practice in Coon Rapids, MN
NPI Status: Active since September 07, 2006
Contact Information
11475 ROBINSON DR NW
COON RAPIDS, MN
ZIP 55433
Phone: (763) 754-0041
Fax: (763) 754-4506
- Individual
- Female
- Dentist
- General Practice
- PECOS Enrolled
About SALLY JOHNSON
This page provides the complete NPI Profile along with additional information for Sally Johnson, a provider established in Coon Rapids, Minnesota with a medical specialization in Dentist, focusing in general practice . The healthcare provider is registered in the NPI registry with number 1609979103 assigned on September 2006. The practitioner's primary taxonomy code is 1223G0001X with license number 10193 (MN). The provider is registered as an individual and her NPI record was last updated 18 years ago.
- NPI
- 1609979103
- Provider Name
- DR. SALLY A JOHNSON DDS
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 11475 ROBINSON DR NW COON RAPIDS, MN 55433
- Location Phone
- (763) 754-0041
- Location Fax
- (763) 754-4506
- Mailing Address
- PO BOX 1309 MAIL CODE 21113A MINNEAPOLIS, MN 55440
- Mailing Phone
- (952) 883-5151
- Mailing Fax
- (763) 754-4506
- Is Sole Proprietor?
- No
- Enumeration Date
- 09-07-2006
- Last Update Date
- 07-08-2007
- Code Navigator
A dentist like Sally Johnson is a skilled in and licensed provider that diagnoses and treats problems with patients teeth, gums, and related parts of the mouth. Dentists educate patients on how to take care of the teeth and gums and provide information on diet choices that affect oral health. Dentists must be licensed in the state in which they work.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Dentist General Practice
- Taxonomy Code
- 1223G0001X
- Type
- Dental Providers
- License No.
- 10193
- License State
- MN
- Taxonomy Description
- 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.
Medicare Participation & PECOS Enrollment Status
Sally Johnson is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME) and a Home Health Agency (HHA).
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: No
Physician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 55433 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $85.82
- Minimum New Patient Price $56
- Maximum New Patient Price $168.28
- Average New Patient Copayment $21.45
- Minimum New Patient Copayment $14
- Maximum New Patient Copayment $42.07
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99213
- Average Established Patient Price $69.74
- Minimum Established Patient Price $18.32
- Maximum Established Patient Price $138.04
- Average Established Patient Copayment $17.43
- Minimum Established Patient Copayment $4.58
- Maximum Established Patient Copayment $34.51
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 6 | 0 | 9 | 9 | 7 | 9 | 1 | 0 | 3 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 6 | 0 | 9 | 18 | 7 | 18 | 1 | 0 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 6 + 0 + 9 + 1 + 8 + 7 + 1 + 8 + 1 + 0 + 24 = 67 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 67 = 3 | 3 | ||||||||
The NPI number 1609979103 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1598739286 | JAMES G SCHLAEFER MD Individual | Surgery | 11475 ROBINSON DR NW MAIL STOP 32600A COON RAPIDS, MN 55433 (763) 754-4600 |
| 1083689624 | RICHARD ALAN WANDERSEE MSW LICSW Individual | Social Worker (Clinical) | 11475 ROBINSON DR NW MAIL STOP 32600A COON RAPIDS, MN 55433 (763) 754-4600 |
| 1194791467 | PAMELA JILL COLLINS WHNP Individual | Nurse Practitioner | 11475 ROBINSON DR NW MAIL STOP 32600A COON RAPIDS, MN 55433 (763) 754-4600 |
| 1710953781 | MARY A BUTTE FNP Individual | Nurse Practitioner | 11475 ROBINSON DR NW MAIL STOP 32600A COON RAPIDS, MN 55433 (763) 754-4600 |
| 1902873391 | CURTIS LEE KELLER MD Individual | Obstetrics & Gynecology | 11475 ROBINSON DR NW COON RAPIDS, MN 55433 (763) 712-6000 |
| 1083681472 | SUZANNE L SCHINZEL CNP Individual | Nurse Practitioner | 11475 ROBINSON DR NW COON RAPIDS, MN 55433 (763) 712-6000 |
| 1467429555 | ARDELL R HAUG CNP Individual | Nurse Practitioner | 11475 ROBINSON DR NW COON RAPIDS, MN 55433 (763) 712-6000 |
| 1851369961 | MICHAEL N MAURICE MD Individual | Obstetrics & Gynecology | 11475 ROBINSON DR NW COON RAPIDS, MN 55433 (763) 712-6000 |
| 1376502989 | DONALD JOHN COLLINS MD Individual | Obstetrics & Gynecology | 11475 ROBINSON DR NW COON RAPIDS, MN 55433 (763) 712-6000 |
| 1649382771 | DR. THOMAS JEROME ZYVOLOSKI Individual | Dentist (General Practice) | 11475 ROBINSON DR NW COON RAPIDS, MN 55433 (763) 754-0041 |
| 1295846392 | DR. DAVID J HIRSH DDS Individual | Dentist (General Practice) | 11475 ROBINSON DR NW COON RAPIDS, MN 55433 (763) 754-0041 |
| 1184779811 | GROUP HEALTH PLAN INC Organization | Dentist (General Practice) | 11475 ROBINSON DR NW COON RAPIDS, MN 55433 (763) 754-0041 |
| 1417158361 | DR. TESSIE BARRETT M.D. Individual | Obstetrics & Gynecology | 11475 ROBINSON DR NW COON RAPIDS, MN 55433 (763) 754-4600 |
| 1477715514 | DR. NICOLE R AMUNDSON DDS Individual | Dentist | 11475 ROBINSON DR NW COON RAPIDS, MN 55433 (763) 587-9100 |
| 1538135504 | RANDALL C WARREN MD Individual | Pediatrics | 11475 ROBINSON DR NW 21110Q COON RAPIDS, MN 55433 (763) 587-9000 |
| 1669441960 | CLARICE R DECKER MD Individual | Obstetrics & Gynecology | 11475 ROBINSON DR NW COON RAPIDS, MN 55433 (763) 587-9000 |
| 1265409098 | GALINA L KOLDOBA MD Individual | Family Medicine | 11475 ROBINSON DR NW MAIL STOP 32600A COON RAPIDS, MN 55433 (763) 754-4600 |
| 1568436525 | LADONNA RAE MEINECKE LICSW Individual | Social Worker (Clinical) | 11475 ROBINSON DR NW MAIL STOP 32600A COON RAPIDS, MN 55433 (763) 754-4600 |
| 1528409414 | DR. KIRSTEN L HOYME DDS Individual | Dentist | 11475 ROBINSON DR NW HEALTHPARTNERS COON RAPIDS DENTAL CLINIC COON RAPIDS, MN 55433 (763) 587-9100 |
| 1750356309 | XIAO YING YOUNG MD Individual | Pediatrics | 11475 ROBINSON DR NW COON RAPIDS, MN 55433 (763) 587-9000 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1609979103, enumerated in the NPI registry as an "individual" on September 07, 2006
The provider is located at 11475 Robinson Dr Nw Coon Rapids, Mn 55433 and the phone number is (763) 754-0041
The provider's speciality is Dentist with taxonomy code 1223G0001X with a focus in General Practice
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME) and a Home Health Agency (HHA).
Medicare beneficiaries should expect a typical cost of $85.82 with an average copayment of $21.45 for new patient appointments. Established patients should expect a typical charge of $69.74 and an average copayment of 17.43. Please review your insurance plan or contact the provider directly to determine your specific costs.
This NPI record was last updated on September 07, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.