Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1639244650 Individual Practitioner Male Practitioner

Dr. Darrel Howard Johnsrud , DDS

Dentist - General Practice • Maple Grove, MN

Professional Overview & Biography Verified Profile Summary

Dr. Darrel Johnsrud, DDS is a registered healthcare professional specializing in Dentist - General Practice in Maple Grove, MN. Practice services are available at 13998 MAPLE KNOLL WAY under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

13998 Maple Knoll Way
#100

Maple Grove, MN 553697004

Telephone 7634205599
Fax 7634164771
Associated Practice Facility / Clinic
🏢 Kottemann Orthodontics Pa Facility NPI 1265535868

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Maple Grove, MN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 33.3 Yrs
Regional Practice Density
39 Specialists

Practicing in Maple Grove, 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 D9764

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

3 Associated Practitioners
Scott Kottemann

Dentist - Orthodontics and Dentofacial Orthopedics

NPI 1053609115
Dr. Ivan Streif , DDS

Dentist - Periodontics

NPI 1457374779

Doctor of Dental Surgery

Dr. Venetia Laganis , DDS, MS

Dentist - Pediatric Dentistry

NPI 1760487359

Doctor of Dental Surgery, Master of Science

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active January 07, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location January 07, 2015

Registered at 13998 MAPLE KNOLL WAY, #100, MAPLE GROVE, MN 553697004 (Tel: 7634205599)

📍
Updated Business Mailing Address January 07, 2015

Registered at 13998 MAPLE KNOLL WAY, #100, MAPLE GROVE, MN 553697004 (Tel: 7634205599)

👤
Provider Name / Credentials Updated January 07, 2015

Recorded as DARREL JOHNSRUD, D.D.S.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 07, 2015

Dentist (License #D9764 in MN)

🟢
Initial NPI Registration & Enumeration November 22, 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: 1639244650
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 22, 2006
Last Update: January 07, 2015
Sole Proprietor: No

Mailing Address

13998 Maple Knoll Way, #100

Maple Grove, MN 553697004

Phone: 7634205599

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.