Individual provider Active NPI

Steven D Johnson, DDS

  • Oral and Maxillofacial Surgery (Dentist)
  • Stillwater, MN
National Provider Identifier
1023088622
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
DO8300 Issued in MN
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

Updated by the provider on Jul 13, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
33364500MedicaidWI

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

LicenseStateTypeSpecialty
8300MNMDMental Health Counselor
DO8300MNMDOral and Maxillofacial Surgery (Dentist)
5001983WIMDOral and Maxillofacial Surgery (Dentist)

Practice roles

OrganizationSpecialtyStatusNew patients
St Croix Oral, Maxillofacial & Implant Surgery, P.a. Oral and Maxillofacial Surgery PastSince Jan 1, 1978 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.

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.

Verify at the official NPI Registry.