Dr. Sally A Johnson, DDS
Dr. Sally A Johnson is a General Practice Dentistry provider (Dentist) practicing in Coon Rapids, MN, registered in the NPPES registry with NPI 1609979103 since 2006. The credential DDS stands for Doctor of Dental Surgery.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1609979103 |
|---|---|
| Entity type | Individual (Type 1) |
| Name | Dr. Sally A Johnson |
| Credential | DDS |
| Sex | Female |
| Practice address | 11475 ROBINSON DR NW, Coon Rapids, MN, 55433 |
| Phone | 7637540041 |
| Fax | 7637544506 |
| Enumeration date | 2006-09-07 |
| Last updated in NPPES | 2007-07-08 |
Taxonomy & licenses
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 1223G0001X | General Practice Dentistry | Primary | 10193 | MN |
DDS — Doctor of Dental Surgery: A licensed dentist; DDS and DMD are equivalent dental degrees. About the DDS credential
Copy-ready billing details
Provider: Sally Johnson, DDS NPI: 1609979103 Taxonomy: 1223G0001X (General Practice Dentistry) Address: 11475 ROBINSON DR NW, Coon Rapids, MN, 55433
Other providers at this practice address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1568436525 | Ladonna Meinecke | Individual | Clinical Social Worker | Coon Rapids, MN |
| 1598739286 | James Schlaefer | Individual | Surgery Physician | Coon Rapids, MN |
| 1083689624 | Richard Wandersee | Individual | Clinical Social Worker | Coon Rapids, MN |
| 1750356309 | Xiao Ying Young | Individual | Pediatrics Physician | Coon Rapids, MN |
| 1194791467 | Pamela Collins | Individual | Nurse Practitioner | Coon Rapids, MN |
| 1710953781 | Mary Butte | Individual | Nurse Practitioner | Coon Rapids, MN |
| 1538135504 | Randall Warren | Individual | Pediatrics Physician | Coon Rapids, MN |
| 1265409098 | Galina Koldoba | Individual | Family Medicine Physician | Coon Rapids, MN |
Verify this record
Cross-check NPI 1609979103 against the authoritative CMS record: view Dr. Sally A Johnson on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
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Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2007-07-08.