Individual provider Active NPI

Edward Robert Johnson

  • Behavior Technician
  • Lakewood, CO
National Provider Identifier
1194385708
Registry record updated Jun 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
Practice address
West 6TH Avenue Suite 1000
Lakewood, CO 80215-8021
Phone
(303) 233-3122
NPI assigned
Jun 17, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 17, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X CO Primary

Addresses

Primary practice location

West 6TH Avenue Suite 1000
Lakewood, CO 80215-8021

Mailing address

9664 Chanteclair Cir
Highlands Ranch, CO 80126-3052
Phone (574) 540-9705

Other practice location 1

9664 Chanteclair Cir
Highlands Ranch, CO 80126-3052
Phone (574) 540-9705

Other names 1

  • Mr. Edward Robert Johnson Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1560729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560729600000",
    "number": "1194385708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9664 CHANTECLAIR CIR",
            "city": "HIGHLANDS RANCH",
            "state": "CO",
            "postal_code": "801263052",
            "telephone_number": "574-540-9705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "WEST 6TH AVENUE SUITE 1000",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802158021",
            "telephone_number": "303-233-3122"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9664 Chanteclair Cir",
            "address_purpose": "LOCATION",
            "city": "Highlands Ranch",
            "state": "CO",
            "postal_code": "801263052",
            "country_code": "US",
            "telephone_number": "574-540-9705",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "EDWARD",
        "middle_name": "ROBERT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-06-17",
        "last_updated": "2019-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "CO",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EDWARD",
            "last_name": "JOHNSON",
            "middle_name": "ROBERT",
            "prefix": "MR.",
            "credential": "RBT",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Lakewood, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2019; 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.