Organization Active NPI

Johnson Orthopaedic, LLC

  • Prosthetic/Orthotic Supplier
  • Memphis, TN
National Provider Identifier
1053785154
Registry record updated Nov 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
License
0627937 Issued in TN
Legal business name
JOHNSON ORTHOPAEDIC, LLC
Practice address
5100 Poplar Ave
Suite 720
Memphis, TN 38137-4000
Phone
(901) 570-6198
NPI assigned
Nov 30, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2015

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

Authorized official

Name
Joe Johnson
Title
Owner
Phone
(901) 570-6198

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetic/Orthotic Supplier 335E00000X 0627937 TN Primary

Addresses

Primary practice location

5100 Poplar Ave
Suite 720
Memphis, TN 38137-4000

Mailing address

1945 Prestwick Dr
Germantown, TN 38139-3451

Other names 1

  • Johnson Medical Products Doing business as

National Provider Directory

National Provider Directory

Locations

5100 Poplar Ave
Ste 720
Memphis, TN 38137
Phone (901) 570-6198

NPI Registry JSON

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

{
    "created_epoch": "1448841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1448841600000",
    "number": "1053785154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1945 PRESTWICK DR",
            "city": "GERMANTOWN",
            "state": "TN",
            "postal_code": "381393451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5100 POPLAR AVE",
            "address_2": "SUITE 720",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381374000",
            "telephone_number": "901-570-6198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHNSON ORTHOPAEDIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-30",
        "last_updated": "2015-11-30",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "JOE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "901-570-6198"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "TN",
            "license": "0627937",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Johnson Medical Products",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Memphis, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2015; 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.