Thomas G Johnson, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

27569 Issued in CO

Practice address

5115 Fontaine Blvd
Fountain, CO 80817-1061

Phone

(719) 392-2000

Fax

(719) 392-6937

NPI assigned

Mar 22, 2006

Last updated

Aug 9, 2011By 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 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy, Doctor of Medicine

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

{
    "created_epoch": "1142985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1312848000000",
    "number": "1053370650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5115 FONTAINE BLVD",
            "city": "FOUNTAIN",
            "state": "CO",
            "postal_code": "808171061",
            "telephone_number": "719-392-2000",
            "fax_number": "719-392-6937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5115 FONTAINE BLVD",
            "city": "FOUNTAIN",
            "state": "CO",
            "postal_code": "808171061",
            "telephone_number": "719-392-2000",
            "fax_number": "719-392-6937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "THOMAS",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-22",
        "last_updated": "2011-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "27569",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01275692",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Johnson and Associates DDS PC
• Johnson Orthodontics (Imagine Braces)
• Ashley Marie Johnson, MSW, LSW
• Christopher Johnson, DDS
• Shatarie Johnson
• Chelsea Curry Jordan, DDS
• Jacquita Jordan, FNP-BC, PMHNP-BC
• Just for Grins LLC
• Amanda Gabrielle Kacena
• Jiro Kameoka, O.D.

• Family Medicine Physician in Fountain, CO
• Providers in Fountain, CO by specialty
• Family Medicine Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2011; 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.