Michael Johnson, M.D.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

45509 Issued in AZ

Practice address

729 N Ocotillo LN
Gilbert, AZ 85233-3707

Phone

(480) 326-6524

NPI assigned

Apr 2, 2016

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1459555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640649600000",
    "number": "1417310855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "729 N OCOTILLO LN",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852333707",
            "telephone_number": "480-326-6524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "729 N OCOTILLO LN",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852333707",
            "telephone_number": "480-326-6524"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "MICHAEL",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-04-02",
        "last_updated": "2021-12-28",
        "certification_date": "2021-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "45509",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "AZ",
            "license": "45509",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "AZ",
            "license": "45509",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Johnson, MS CCC-SP
• Megan Johnson, COTA/L
• Megan Johnson, IBCLC
• Melissa Johnson
• Melissa J Johnson, OTR
• Miranda Louise Johnson, M.S.
• Paige Johnson, PT, DPT
• Phillip Ryan Johnson, R.PH.
• Rachel Johnson, PHARMD
• Sarah Elizabeth Johnson, D.M.D.

• Ophthalmology Physician in Gilbert, AZ
• Providers in Gilbert, AZ by specialty
• Ophthalmology Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2021; 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.