Active NPI
Dale S Johnson M D PC
- Ophthalmology Physician
- Longmont, CO
National Provider Identifier
1174555718
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- Legal business name
- DALE S JOHNSON M D PC
- Practice address
- 1319 Vivian St
Longmont, CO 80501-3216 - Phone
- (303) 772-3611
- Fax
- (303) 772-3609
- NPI assigned
- Jul 6, 2006
- 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
- Dr. Dale Johnson, M.D.
- Title
- President
- Phone
- (303) 772-3611
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | Primary |
Addresses
Primary practice location
1319 Vivian St
Longmont, CO 80501-3216
Mailing address
1319 Vivian St
Longmont, CO 80501-3216
Phone (303) 772-3611
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152144000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1277337600000",
"number": "1174555718",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1319 VIVIAN ST",
"city": "LONGMONT",
"state": "CO",
"postal_code": "805013216",
"telephone_number": "303-772-3611",
"fax_number": "303-772-3609"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1319 VIVIAN ST",
"city": "LONGMONT",
"state": "CO",
"postal_code": "805013216",
"telephone_number": "303-772-3611",
"fax_number": "303-772-3609"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DALE S JOHNSON M D PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-06",
"last_updated": "2010-06-24",
"status": "A",
"authorized_official_last_name": "JOHNSON",
"authorized_official_first_name": "DALE",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "303-772-3611",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Ophthalmology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Longmont, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.