Katie Kremer Johnson, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

13247 Issued in MN

Practice address

1514 E Minnesota St
Saint Joseph, MN 56374-8618

Phone

(320) 363-7729

NPI assigned

Jun 7, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Dr. Kelsey Milbert, P.a.

  • Dental Clinic/Center
  • Saint Joseph, MN
  • NPI 1114533908
  NPD
• Dr Joseph R Styles /Curtis F Cotton PA

  • General Practice Dentistry
  • Saint Joseph, MN
  • NPI 1457576969
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1370563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720569600000",
    "number": "1457799884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 17TH AVE N",
            "city": "COLD SPRING",
            "state": "MN",
            "postal_code": "563204595",
            "telephone_number": "320-290-9339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1514 E MINNESOTA ST",
            "city": "SAINT JOSEPH",
            "state": "MN",
            "postal_code": "563748618",
            "telephone_number": "320-363-7729"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "115 Drew Ave SE Ste 202",
            "address_purpose": "LOCATION",
            "city": "Madelia",
            "state": "MN",
            "postal_code": "560621870",
            "country_code": "US",
            "telephone_number": "507-642-8742",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "KATIE",
        "middle_name": "KREMER",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-06-07",
        "last_updated": "2024-07-10",
        "certification_date": "2024-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MN",
            "license": "13247",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Heying, PHD, RD, LD
• Susan A. Heying, RN, CFNP
• Carol L Holton, FNP
• Rose Anne Janssen, CMT
• Jessica G Counseling
• K Welz LLC
• Samantha Eileen Kolb
• Brian S Koltes, D.C.
• Angela Marie Larcom
• Jennie Joy Lewis, C.M.T.

• All providers in Saint Joseph, MN
• Dentist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.