Eric Johnson, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

FJ5401740 Issued in CO

Practice address

9101 Pearl St Ste 217
Thornton, CO 80229-4353

Phone

(303) 576-9016

NPI assigned

Aug 28, 2015

Last updated

May 8, 2018By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• Eric Johnson LLC

  dba Smile Colorado Family Dental

  • Dental Clinic/Center
  • Thornton, CO
  • NPI 1881101939
  Authorized official Same address or phone

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

{
    "created_epoch": "1440720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525737600000",
    "number": "1417324138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9101 PEARL ST STE 217",
            "city": "THORNTON",
            "state": "CO",
            "postal_code": "802294353",
            "telephone_number": "303-576-9016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9101 PEARL ST STE 217",
            "city": "THORNTON",
            "state": "CO",
            "postal_code": "802294353",
            "telephone_number": "303-576-9016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "ERIC",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-08-28",
        "last_updated": "2018-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CO",
            "license": "FJ5401740",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Autumn Leigh Johnson
• Charlyna Johnson
• Chelsea Johnson
• Christina Johnson
• Elizabeth Ann Johnson, B.A.
• Heather Johnson
• Jewell Johnson
• Nikki Jo Johnson
• Nina Alexandra Johnson, PA
• Raquel Simey Johnson, LCSW

• Dentist in Thornton, CO
• Providers in Thornton, CO by specialty
• Dentist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2018; 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.