Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1932325404 Deactivated / Inactive NPI Male Practitioner

Dr. Robert J Johnson , DDS

Dentist - General Practice • Chippewa Falls, WI

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Robert Johnson has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date April 17, 2007
NPI Deactivation Date May 13, 2021
Total Practice Duration ~14 Years of Practice (2007 – 2021)

Professional Overview & Biography Verified Profile Summary

Dr. Robert Johnson, DDS was a registered Dentist - General Practice practicing in Chippewa Falls, WI. Throughout an active medical career spanning 14 years, Dr. Johnson provided care at the practice location at 777 E PARK AVE until profile deactivation on 2021-05-13.

Practice Location & Contact Primary Location

Practice Address

777 E Park Ave

Chippewa Falls, WI 547293508

Telephone 7157230366
Associated Practice Facility / Clinic
🏢 Dental Health, Inc. Facility NPI 1144239724

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Chippewa Falls, WI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 24.5 Yrs
Regional Practice Density
16 Specialists

Practicing in Chippewa Falls, WI (2459 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 WI 5095-015

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

4 Associated Practitioners
NPI 1093655086

Doctor of Dental Surgery

Dr. Patrick Snyder , DDS

Dentist - General Practice

NPI 1639192776

Doctor of Dental Surgery

Dr. Michael Tupta , DDS

Dentist - General Practice

NPI 1912578808

Doctor of Dental Surgery

NPI 1962046268

Doctor of Dental Surgery

Career & Practice History Timeline

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

7 Historical Events
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NPI Profile Deactivated May 13, 2021

Record deactivated on May 13, 2021

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 777 E PARK AVE, CHIPPEWA FALLS, WI 547293508 (Tel: 7157230366)

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Updated Business Mailing Address July 08, 2007

Registered at 6698 PICHA LN, EDEN PRAIRIE, MN 553462508 (Tel: 6126694668)

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Provider Name / Credentials Updated July 08, 2007

Recorded as ROBERT JOHNSON, D.D.S.

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

Dentist (License #5095-015 in WI)

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Initial NPI Registration & Enumeration April 17, 2007

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: 1932325404
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 17, 2007
Last Update: July 08, 2007
Deactivation Date: May 13, 2021

Mailing Address

6698 Picha Ln

Eden Prairie, MN 553462508

Phone: 6126694668

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.