Active NPI
Warren Kay Johnson, D.D.S., M.S.
- Orthodontics and Dentofacial Orthopedics Dentistry
- Colorado Springs, CO
National Provider Identifier
1376571869
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- 8939
- Practice address
- 5850 Tutt Center PT Ste 100
Colorado Springs, CO 80922-3520 - Phone
- (719) 596-3081
- NPI assigned
- Jun 30, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 8939 | CO | Primary |
Addresses
Primary practice location
5850 Tutt Center PT Ste 100
Colorado Springs, CO 80922-3520
Mailing address
5850 Tutt Center PT Ste 100
Colorado Springs, CO 80922-3520
Phone (719) 596-3081
Other practice location 1
6620 Camden Blvd
Fountain, CO 80817-2505
Phone (719) 631-6649
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8939 | CO | MD | Orthodontics and Dentofacial Orthopedic Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151625600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1659657600000",
"number": "1376571869",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5850 TUTT CENTER PT STE 100",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809223520",
"telephone_number": "719-596-3081"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5850 TUTT CENTER PT STE 100",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809223520",
"telephone_number": "719-596-3081"
}
],
"practiceLocations": [
{
"address_1": "6620 Camden Blvd",
"address_purpose": "LOCATION",
"city": "Fountain",
"state": "CO",
"postal_code": "808172505",
"country_code": "US",
"telephone_number": "719-631-6649",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JOHNSON",
"first_name": "WARREN",
"middle_name": "KAY",
"name_prefix": "Dr.",
"credential": "D.D.S., M.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-30",
"last_updated": "2022-08-05",
"certification_date": "2022-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "CO",
"license": "8939",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Colorado Springs, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.