Individual provider Active NPI

Katherine Taite Johnson, D.D.S.

  • General Practice Dentistry
  • Lakewood, CO
National Provider Identifier
1427211408
Registry record updated Mar 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
9903 Issued in CO
Practice address
7373 W Jefferson Ave Ste 104
Lakewood, CO 80235-2020
Phone
(303) 989-3192
NPI assigned
Jul 9, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 9903 CO Primary

Addresses

Primary practice location

7373 W Jefferson Ave Ste 104
Lakewood, CO 80235-2020

Mailing address

7373 W Jefferson Ave Ste 104
Lakewood, CO 80235-2020
Phone (303) 989-3192

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151203001946 CO Order and Referring Only - DentistPractitioner - Dentist 6901106566

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Greenwood Dental Arts General Practice CurrentSince Jul 2, 2023 Accepting new patients
Affinity Dental Arts, PLLC Current Accepting new patients

Locations

601 E Hampden Ave
Ste 300
Englewood, CO 80113
Phone (303) 788-6462

8490 E Crescent Pkwy
Ste 370
Greenwood Village, CO 80111
Phone (303) 740-9353

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1215561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773100800000",
    "number": "1427211408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7373 W JEFFERSON AVE STE 104",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802352020",
            "telephone_number": "303-989-3192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7373 W JEFFERSON AVE STE 104",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802352020",
            "telephone_number": "303-989-3192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "KATHERINE",
        "middle_name": "TAITE",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-09",
        "last_updated": "2026-03-10",
        "certification_date": "2026-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CO",
            "license": "9903",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood, CO

Sources for this page

Verify at the official NPI Registry.