npidexNPI registry + Medicare data

KIRBY JOHNSON, DDS

Oral and Maxillofacial Surgery (Dentist) · ST ANTHONY, MN

Individual Active Opted out of Medicare NPI 1023045341

Taxonomy & licensure

SpecialtyCodePrimaryLicenseState
Oral and Maxillofacial Surgery (Dentist)1223S0112X✓10472DDSMN

Medicare eligibility

Part B
Yes
DME
Yes
Home health
Yes
Power mobility
No
Hospice
Yes

Opted out of Medicare (Dentist), effective 2022-07-20 through 2026-07-20.

Other Oral and Maxillofacial Surgery (Dentist) providers in Minnesota

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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.