Active NPI
Steven D Johnson, DDS
- Oral and Maxillofacial Surgery (Dentist)
- Stillwater, MN
National Provider Identifier
1023088622
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)
- License
- DO8300
- Practice address
- 1701 Curve Crest Blvd W
Suite 108
Stillwater, MN 55082-6044 - Phone
- (651) 439-8030
- Fax
- (651) 351-0821
- NPI assigned
- Jan 25, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | DO8300 | MN | Primary |
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | 5001983 | WI |
Addresses
Primary practice location
1701 Curve Crest Blvd W
Suite 108
Stillwater, MN 55082-6044
Mailing address
1701 Curve Crest Blvd W
Suite 108
Stillwater, MN 55082-6044
Phone (651) 439-8030
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 33364500 | Medicaid | WI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8300 | MN | MD | Mental Health Counselor |
| DO8300 | MN | MD | Oral and Maxillofacial Surgery (Dentist) |
| 5001983 | WI | MD | Oral and Maxillofacial Surgery (Dentist) |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Croix Oral, Maxillofacial & Implant Surgery, P.a. | Oral and Maxillofacial Surgery | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Oral and Maxillofacial Surgery (Dentist)
- Stillwater, MN
- NPI 1427129717
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138147200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1023088622",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1701 CURVE CREST BLVD W",
"address_2": "SUITE 108",
"city": "STILLWATER",
"state": "MN",
"postal_code": "550826044",
"telephone_number": "651-439-8030",
"fax_number": "651-351-0821"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1701 CURVE CREST BLVD W",
"address_2": "SUITE 108",
"city": "STILLWATER",
"state": "MN",
"postal_code": "550826044",
"telephone_number": "651-439-8030",
"fax_number": "651-351-0821"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "STEVEN",
"middle_name": "D",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-25",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "1223S0112X",
"taxonomy_group": "",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": "MN",
"license": "DO8300",
"primary": true
},
{
"code": "1223S0112X",
"taxonomy_group": "",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": "WI",
"license": "5001983",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "33364500",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Stillwater, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.