David Howard Johnson, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

4143 Issued in NV

Practice address

925 Ironwood Drive
Suite 2103
Minden, NV 89423-5180

Phone

(775) 445-7885

Fax

(775) 783-9550

NPI assigned

Feb 15, 2006

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 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

• Sierra Nevada Medical Group

  • General Practice Physician
  • Minden, NV
  • NPI 1730153826
  NPD (past) Authorized official

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

{
    "created_epoch": "1139961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1291248000000",
    "number": "1174597058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2874 N. CARSON STREET",
            "address_2": "SUITE 200",
            "city": "CARSON CITY",
            "state": "NV",
            "postal_code": "897061682",
            "telephone_number": "775-283-3096",
            "fax_number": "775-283-3096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "925 IRONWOOD DRIVE",
            "address_2": "SUITE 2103",
            "city": "MINDEN",
            "state": "NV",
            "postal_code": "894235180",
            "telephone_number": "775-445-7885",
            "fax_number": "775-783-9550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "DAVID",
        "middle_name": "HOWARD",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-15",
        "last_updated": "2010-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NV",
            "license": "4143",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NV",
            "license": "4143",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003103057",
            "state": "NV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002003057",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jay D Marriage DDS
• Jeannette Bostedt Therapy LLC
• Jennifer Lynn Jenks, LMT
• Jenna Ortiz Therapy
• David A Johnson, PT
• Lynda Sue Johnson
• Sarah Johnson
• Sammie Jones
• Mark Juhl, MD
• Tali Kavapalu

• Family Medicine Physician in Minden, NV
• Providers in Minden, NV by specialty
• Family Medicine Physician in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 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.

Verify at the official NPI Registry.