Kris Alan Johnson, M.D.

Primary specialty

Adult Medicine PhysicianTaxonomy code 207QA0505X

License

039337 Issued in CO

Practice address

155 Van Gordon St
Suite #395
Lakewood, CO 80228-1709

Phone

(303) 914-2680

NPI assigned

Jul 18, 2006

Last updated

Dec 21, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Inpatient Consultants of Colorado PC

  • Hospitalist Physician
  • Aurora, CO
  • NPI 1720184690
  NPD (past)
• Inpatient Consultants of Colorado, PC

  • Internal Medicine Physician
  • Denver, CO
  • NPI 1538461256

  Hospitalist

  NPD (past)
• Southeast Family Practice Associates P C

  • Family Medicine Physician
  • Denver, CO
  • NPI 1235185794
  NPD (past)

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1198195200000",
    "number": "1033138565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 VAN GORDON ST",
            "address_2": "SUITE #395",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802281709",
            "telephone_number": "303-914-2680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 VAN GORDON ST",
            "address_2": "SUITE #395",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802281709",
            "telephone_number": "303-914-2680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "KRIS",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-18",
        "last_updated": "2007-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "CO",
            "license": "039337",
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "CO",
            "license": "39337",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "95052321",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hayden Cassidy Johnson
• Heather Johnson, CD(DONA), PCD(DONA)
• Heather Michelle Johnson, RN, BSN
• Joseph Douglas Johnson, M.D.
• Katherine Taite Johnson, D.D.S.
• Kristen Johnson, LPC
• Leigh Anna Johnson, PA-C
• Lori Johnson
• Lori A Johnson, MA
• Makayla E Johnson

• Adult Medicine Physician in Lakewood, CO
• Providers in Lakewood, CO by specialty
• Adult Medicine Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.