Active NPI
Johnson Orthopaedic, LLC
- Prosthetic/Orthotic Supplier
- Memphis, TN
National Provider Identifier
1053785154
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetic/Orthotic Supplier
- License
- 0627937
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryLocations
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.