Active NPI
Thomas C Johnson, D.O.
- Obstetrics & Gynecology Physician
- Elko, NV
National Provider Identifier
1467428722
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 912
- Practice address
- 900 5TH St
Elko, NV 89801-3202 - Phone
- (775) 738-7455
- Fax
- (775) 738-7478
- NPI assigned
- Feb 27, 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 |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 912 | NV | Primary |
Addresses
Primary practice location
900 5TH St
Elko, NV 89801-3202
Mailing address
900 5TH St
Elko, NV 89801-3202
Phone (775) 738-7455
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 912 | Other | NV | STATE OF NV MEDICAL LICEN |
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)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 912 | NV | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140998400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1467428722",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "900 5TH ST",
"city": "ELKO",
"state": "NV",
"postal_code": "898013202",
"telephone_number": "775-738-7455",
"fax_number": "775-738-7478"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "900 5TH ST",
"city": "ELKO",
"state": "NV",
"postal_code": "898013202",
"telephone_number": "775-738-7455",
"fax_number": "775-738-7478"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "THOMAS",
"middle_name": "C",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-27",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "NV",
"license": "912",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE OF NV MEDICAL LICEN",
"identifier": "912",
"state": "NV"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Elko, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.