Active NPI
Johnson Orthodontics
- Orthodontics and Dentofacial Orthopedics Dentistry
- Colorado Springs, CO
National Provider Identifier
1003441049
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 21232571 | Medicaid | CO |
Other names 1
- Johnson Orthodontics
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | info@springsortho.com | Direct |
National Provider Directory
National Provider Directory- Tax ID family
- Johnson Orthodontics
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Orthodontics and Dentofacial Orthopedics Dentistry
- Colorado Springs, CO
- NPI 1285260927
-
- Orthodontics and Dentofacial Orthopedics Dentistry
- Fountain, CO
- NPI 1477188407
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.