Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1629473442 Individual Practitioner Male Practitioner

Dr. Kirby Melvin Johnson , DDS

Dentist - General Practice • Spicer, MN

Professional Overview & Biography Verified Profile Summary

Dr. Kirby Johnson, DDS is a registered healthcare professional specializing in Dentist - General Practice in Spicer, MN. Practice services are available at 163 HIGHWAY 23 NE STE 1 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

163 Highway 23 Ne Ste 1

Spicer, MN 562889735

Telephone 3207962158
Fax 3204091180
Associated Practice Facility / Clinic
🏢 Kirby M. Johnson, D.d.s., Llc Facility NPI 1841686359

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Spicer, MN

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

Practicing in Spicer, 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

CMS Verified: 2023-01-27
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License MN D13361

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

2 Associated Practitioners
Dr. Zachary Reierson , DDS

Dentist - General Practice

NPI 1780201129

Doctor of Dental Surgery

Dr. Mark Bloomquist , DDS

Dentist - General Practice

NPI 1962557587

Doctor of Dental Surgery

Career & Practice History Timeline

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

14 Historical Events
📍
Updated Practice Location February 20, 2018

Registered at 163 HIGHWAY 23 NE STE 1, SPICER, MN 562889735 (Tel: 3207962158)

📍
Updated Business Mailing Address February 20, 2018

Registered at 163 HIGHWAY 23 NE STE 1, SPICER, MN 562889735 (Tel: 3207962158)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 20, 2018

Dentist (License #D13361 in MN)

NPI Profile Active February 24, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location February 24, 2017

Registered at 301 HIGHWAY 23, SUITE 2, SPICER, MN 562888001 (Tel: 3207962158)

📍
Updated Business Mailing Address February 24, 2017

Registered at 301 HIGHWAY 23, SUITE 2, SPICER, MN 562888001 (Tel: 3207962158)

👤
Provider Name / Credentials Updated February 24, 2017

Recorded as KIRBY JOHNSON, D.D.S.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 24, 2017

Dentist (License #D13361 in MN)

NPI Profile Active October 23, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location October 23, 2014

Registered at 1 VETERANS DR, 2U-122, MINNEAPOLIS, MN 554172309 (Tel: 6127252039)

📍
Updated Business Mailing Address October 23, 2014

Registered at 1 VETERANS DR, 2U-122, MINNEAPOLIS, MN 554172309 (Tel: 6127252039)

👤
Provider Name / Credentials Updated October 23, 2014

Recorded as KIRBY JOHNSON, D.D.S.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 23, 2014

Dentist (License #D13361 in MN)

🟢
Initial NPI Registration & Enumeration October 23, 2014

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: 1629473442
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 23, 2014
Last Update: January 27, 2023
Sole Proprietor: No

Mailing Address

163 Highway 23 Ne Ste 1

Spicer, MN 562889735

Phone: 3207962158

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.