Organization Active NPI

Johnson Orthodontics

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Colorado Springs, CO
National Provider Identifier
1003441049
Registry record updated Mar 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
Legal business name
JOHNSON ORTHODONTICS
Doing business as
Johnson Orthodontics
Practice address
15435 Gleneagle Dr Ste 210
Colorado Springs, CO 80921-2542
Phone
(719) 572-5150
NPI assigned
Mar 10, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2020

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

Authorized official

Name
Warren Johnson, DDS
Title
President
Phone
(719) 432-9807

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X Primary

Addresses

Primary practice location

15435 Gleneagle Dr Ste 210
Colorado Springs, CO 80921-2542

Mailing address

5850 Tutt Center PT Ste 100
Colorado Springs, CO 80922-3520
Phone (719) 432-9807

Other identifiers 1

IdentifierTypeStateIssuer
21232571MedicaidCO

Other names 1

  • Johnson Orthodontics Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address info@springsortho.com Direct

National Provider Directory

National Provider Directory
Tax ID family
Johnson Orthodontics3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

15435 Gleneagle Dr
Ste 210
Colorado Springs, CO 80921
Phone (719) 572-5150

NPI Registry JSON

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

{
    "created_epoch": "1583798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583798400000",
    "number": "1003441049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5850 TUTT CENTER PT STE 100",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809223520",
            "telephone_number": "719-432-9807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15435 GLENEAGLE DR STE 210",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809212542",
            "telephone_number": "719-572-5150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHNSON ORTHODONTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-10",
        "last_updated": "2020-03-10",
        "certification_date": "2020-03-10",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "WARREN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "719-432-9807",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "21232571",
            "state": "CO"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@springsortho.com",
            "affiliation": "N",
            "endpointDescription": "Office Secure Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "15435 Gleneagle Dr Ste 210",
            "city": "Colorado Springs",
            "state": "CO",
            "country_code": "US",
            "postal_code": "809212542",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Johnson Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Colorado Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2020; 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.