Active NPI
Joseph L Johnson, CP, CTPO
- Prosthetist
- Windsor, CO
National Provider Identifier
1326034620
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetist
- License
- CO15753
- Practice address
- 561 E Garden Dr
Ste H
Windsor, CO 80550-3148 - Phone
- (970) 686-2266
- Fax
- (970) 686-8823
- NPI assigned
- Sep 22, 2005
- Last updated
- Mar 10, 2017
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthetist | 224P00000X | CO15753 | CO | Primary |
Addresses
Primary practice location
561 E Garden Dr
Ste H
Windsor, CO 80550-3148
Mailing address
561 E Garden Dr
Ste H
Windsor, CO 80550-3148
Phone (970) 686-2266
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 117954300 | Medicaid | WY | |
| 97021032 | Medicaid | CO |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CO15753 | CO | MD | Prosthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Quorum Orthopedics, Inc. | Prosthetist | Past | Accepting new patients |
| Quorum Orthopedics, Inc | Prosthetist | Past | Accepting new patients |
Organizations & group practices 2
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127347200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1489104000000",
"number": "1326034620",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "561 E GARDEN DR",
"address_2": "STE H",
"city": "WINDSOR",
"state": "CO",
"postal_code": "805503148",
"telephone_number": "970-686-2266",
"fax_number": "970-686-8823"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "561 E GARDEN DR",
"address_2": "STE H",
"city": "WINDSOR",
"state": "CO",
"postal_code": "805503148",
"telephone_number": "970-686-2266",
"fax_number": "970-686-8823"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "JOSEPH",
"middle_name": "L",
"name_prefix": "Mr.",
"credential": "CP, CTPO",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-09-22",
"last_updated": "2017-03-10",
"status": "A"
},
"taxonomies": [
{
"code": "224P00000X",
"taxonomy_group": "",
"desc": "Prosthetist",
"state": "CO",
"license": "CO15753",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "117954300",
"state": "WY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "97021032",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Windsor, CO
- Katie Jenkins, CFNC
- Renee Jensen, LMT
- Thomas M Jensen, RD
- Jill K. Mioduski, DDS, Ms, Professional LLC (Northern Colorado Orthodontics)
- Jill Kollar DMD Professional LLC (Precision Dental of Windsor)
- Scott Alan Johnson, PT
- Melissa Lynn Jones, FNP
- Ryan Scott Jones, DDS
- Melody Lee Jorgenson
- Judson D Valstad DMD Inc (Valstad Dental)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.