KIRSTEN MARIE JOHNSON (NPI# 1033590369) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033590369 |
| Entity Type | Individual |
| Full Name | KIRSTEN MARIE JOHNSON |
| Credential | DDS |
| Practice Address |
1380 Duckwood Dr Suite 108 Eagan MN 55123-1090 |
| Practice Telephone | 6516866500 |
| Practice Fax Number | 6516867800 |
| Mailing Telephone | 6516866500 |
| Mailing Fax Number | 6516867800 |
| Enumeration Date | 2015-06-11 |
| Last Update Date | 2015-06-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
D13534 | MN | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093169567 | Kirsten Lee Johnson | Registered Nurse | 112033 Warner Cir, Chaska, MN 55318-1437 | 2016-04-20 |
| 1356652705 | Kirsten Johnson | Specialist | 9405 218th Pl Sw, Edmonds, WA 98020-3947 | 2010-06-30 |
| 1972564102 | Kirsten Nations Johnson | Nurse Practitioner | 6010 Singleton Rd Ste 209, Norcross, GA 30093 | 2006-03-29 |
| 1912511940 | Kirsten Johnson | Psychologist | 8270 Willow Oaks Corporate Dr, Fairfax, VA 22031-4530 | 2020-09-08 |
| 1639798812 | Kirsten Marie Johnson | Student in an Organized Health Care Education/Training Program | 1111 E Mcdowell Rd, Phoenix, AZ 85006-2612 | 2020-04-08 |
| 1811542418 | Kirsten Johnson | Case Manager/Care Coordinator | 6640 Poe Ave Ste 100, Dayton, OH 45414-2678 | 2019-08-09 |
| 1316408354 | Kirsten April Johnson | Social Worker | 18 S George St, York, PA 17401-1400 | 2019-03-30 |
| 1841784394 | Kirsten Madeline Johnson | Optometrist | 800 Washington St, Boston, MA 02111-1552 | 2018-06-19 |
| 1598258246 | Kirsten Johnson | Behavior Technician | 8200 Georgia St, Merrillville, IN 46410-6227 | 2018-06-07 |
| 1275915068 | Kirsten Johnson | Physician Assistant | 676 N Saint Clair St, Suite 1835, Chicago, IL 60611-2927 | 2015-06-29 |
| Street Address |
1380 DUCKWOOD DR SUITE 108 |
| City | EAGAN |
| State | MN |
| Zip Code | 55123-1090 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023379526 | Jason Bolen | Chiropractor | 1380 Duckwood Dr, 102, Eagan, MN 55123-1090 | 2012-06-01 |
| 1821437591 | Matthe Robert Hei | Dentist | 1380 Duckwood Dr, Suite 108, Eagan, MN 55123-1090 | 2013-06-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053828467 | Hilltop Family Chiropractic Center Pa | Chiropractor | 1121 Town Centre Drive Suite 202, Eagan, MN 55123 | 2018-01-08 |
| 1922452507 | Jacob Zimmerman | Counselor | 3450 O'leary Ln., Eagan, MN 55123 | 2016-04-20 |
| 1316320971 | K-squared Fitness, L.L.C. | Public Health or Welfare | 1100 Cliff Rd, Eagan, MN 55123 | 2015-07-01 |
| 1346683687 | Joshua M Dorn | Allergy & Immunology | 3460 Promenade Ave, Eagan, MN 55123 | 2013-04-16 |
| 1700172350 | Mary Christine Mcnabney | Nurse Practitioner | 610 Opperman Drive, D4 Health Center, Your Wellbeing Health Center, Eagan, MN 55123 | 2011-06-22 |
| 1033353669 | Todd Borstad | Social Worker | 3450 O'leary Lane, Eagan, MN 55123 | 2009-04-27 |
| 1821025271 | Mngi Endoscopy LLC | Clinic/Center | 1185 Town Centre Drive, Eagan, MN 55123 | 2006-06-28 |
| 1780620120 | Cindy Eileen Wood | Audiologist | 3440 Oleary Lane, 240, Eagan, MN 55123 | 2006-06-22 |
| 1609845742 | Jeffery R Dichter | Internal Medicine | 849 Govern Circle, Saint Paul, MN 55123 | 2006-03-14 |
| 1891269155 | Elise Broderick Quam | Social Worker | 3450 Oleary Ln, Eagan, MN 55123 | 2019-01-18 |
| Find all providers in zip 55123 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| 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. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205443850 | Birchwood Dental, LLC | Dentist | 3356 Sherman Crt Ste 101, Eagan, MN 55121 | 2020-09-28 |
| 1730734708 | Ideal Dental Pllc | Dentist | 2130 Cliff Rd Ste 107, Eagan, MN 55122-2486 | 2019-08-07 |
| 1760972749 | Nicholas Theodore Schulte | Dentist | 1960 Cliff Lake Rd Ste 127, Eagan, MN 55122-2439 | 2018-05-15 |
| 1710357520 | Modern Dental Professionals, Mn PC | Dentist | 1625 Lena Ct, Suite 100, Eagan, MN 55122-2959 | 2015-10-06 |
| 1184093551 | Eagan Smiles Dentistry, PC | Dentist | 3405 Promenade Ave, Suite 300, Eagan, MN 55123-4404 | 2015-09-16 |
| 1225265309 | Molly Anne Henry | Dentist | 1965 Cliff Lake Rd, Suite #102, Eagan, MN 55122-2590 | 2009-06-16 |
| 1144353780 | Eagan Family Dentistry | Dentist | 4178 Knob Dr Ste C, Eagan, MN 55122-1875 | 2007-03-13 |
| 1871632026 | Karrie Marie Glasgow | Dentist | 1260 Yankee Doodle Rd, Suite 102, Eagan, MN 55121-2201 | 2007-02-05 |
| 1528127917 | Mark Joseph Skala | Dentist | 1905 Plaza Dr, Eagan, MN 55122-2883 | 2006-12-08 |
| 1841368545 | Dr Gerald W Rauchwarter Dds LLC | Dentist | 1960 Cliff Lake Road, #127, Eagan, MN 55122 | 2006-12-01 |
| Find all providers in EAGAN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.