Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1467498485 Individual Practitioner Female Practitioner

Dr. Nancie J Johnson , DDS

Dentist • Deephaven, MN

Professional Overview & Biography Verified Profile Summary

Dr. Nancie Johnson, DDS is a registered healthcare professional specializing in Dentist in Deephaven, MN. Practice services are available at 18305 MINNETONKA BLVD STE 100 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

18305 Minnetonka Blvd Ste 100

Deephaven, MN 55391

Telephone 9529362206
Fax 9529360901
Associated Practice Facility / Clinic
🏢 Amy Hughes Dds Pa Facility NPI 1508320789

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Deephaven, MN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 18.6 Yrs
Regional Practice Density
1 Specialists

Practicing in Deephaven, MN (1863 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License MN 9836

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.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Dental License
9836 (MN)
Commercial Insurance / Payer ID Bcbs Insurance Co
46554JO
Commercial Insurance / Payer ID Medica Insurance Co
4015051

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 18305 MINNETONKA BLVD STE 100, DEEPHAVEN, MN 55391 (Tel: 9529362206)

📍
Updated Business Mailing Address July 08, 2007

Registered at 18305 MINNETONKA BLVD STE 100, DEEPHAVEN, MN 55391 (Tel: 9529362206)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as NANCIE JOHNSON, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Dentist (License #9836 in MN)

🟢
Initial NPI Registration & Enumeration June 20, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1467498485
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 20, 2006
Last Update: March 07, 2023
Sole Proprietor: No

Mailing Address

18305 Minnetonka Blvd Ste 100

Deephaven, MN 55391

Phone: 9529362206

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.