Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1639437650 Individual Practitioner Male Practitioner

Dr. Daniel V Johnson , DDS

Dentist - General Practice • Faribault, MN

Professional Overview & Biography Verified Profile Summary

Dr. Daniel Johnson, DDS is a registered healthcare professional specializing in Dentist - General Practice in Faribault, MN. Practice services are available at 1575 20TH ST NW STE 102 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1575 20th St Nw Ste 102

Faribault, MN 550212932

Telephone 5073345433

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Faribault, MN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 38.0 Yrs
State Avg: 33.3 Yrs
Regional Practice Density
14 Specialists

Practicing in Faribault, MN (2262 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 - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License MN D13095

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
NPI 1336753227

Doctor of Dental Medicine

Career & Practice History Timeline

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

11 Historical Events
NPI Profile Active November 07, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location November 07, 2017

Registered at 1575 20TH ST NW STE 102, FARIBAULT, MN 550212932 (Tel: 5073345433)

📍
Updated Business Mailing Address November 07, 2017

Registered at 1275 RIVER VISTA ROW, UNIT 136, SAN DIEGO, CA 921117463 (Tel: 7012384306)

👤
Provider Name / Credentials Updated November 07, 2017

Recorded as DANIEL JOHNSON, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 07, 2017

Dentist (License #D13095 in MN)

NPI Profile Active July 23, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location July 23, 2015

Registered at 3538 BOUGAINVILLE RD BLDG 506, BDA NAB CORONADO, SAN DIEGO, CA 921556491 (Tel: 6194373446)

📍
Updated Business Mailing Address July 23, 2015

Registered at 1275 RIVER VISTA ROW, UNIT 136, SAN DIEGO, CA 921117463 (Tel: 7012384306)

👤
Provider Name / Credentials Updated July 23, 2015

Recorded as DANIEL JOHNSON, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 23, 2015

Dentist (License #D13095 in MN)

🟢
Initial NPI Registration & Enumeration April 27, 2012

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: 1639437650
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 27, 2012
Last Update: November 07, 2017
Sole Proprietor: No

Mailing Address

1275 River Vista Row, Unit 136

San Diego, CA 921117463

Phone: 7012384306

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.