Johnson Orthodontics

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

Legal business name

JOHNSON ORTHODONTICS

Doing business as

Imagine Braces

Practice address

6620 Camden Blvd
Fountain, CO 80817-2505

Phone

(719) 631-6649

NPI assigned

Mar 10, 2020

Last updated

Aug 5, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Warren Johnson, DDSNPI 1376571869

Title

President

Phone

(719) 432-9807

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Imagine Braces Doing business as

Electronic endpoints 1

Tax ID family

Johnson Orthodontics3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Johnson Orthodontics

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Colorado Springs, CO
  • NPI 1003441049
  NPD tax ID
• Johnson Orthodontics

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Colorado Springs, CO
  • NPI 1285260927
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Warren Kay Johnson, D.D.S., M.S.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Colorado Springs, CO
  • NPI 1376571869
  Authorized official Same address or phone

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

{
    "created_epoch": "1583798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1659657600000",
    "number": "1477188407",
    "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": "6620 CAMDEN BLVD",
            "city": "FOUNTAIN",
            "state": "CO",
            "postal_code": "808172505",
            "telephone_number": "719-631-6649"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHNSON ORTHODONTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-10",
        "last_updated": "2022-08-05",
        "certification_date": "2022-08-05",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "WARREN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "719-432-9807",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1223X0400X",
            "state": "CO"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@springsortho.com",
            "affiliation": "N",
            "endpointDescription": "Office Secure Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "6620 Camden Blvd",
            "city": "Fountain",
            "state": "CO",
            "country_code": "US",
            "postal_code": "808172505",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Imagine Braces",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Imagine Braces",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Imagine Kids Dentistry PLLC
• Isolda PLLC
• Kaydence Jalynn Jacques
• Andrew Edward Jimenez
• Johnson and Associates DDS PC
• Ashley Marie Johnson, MSW, LSW
• Christopher Johnson, DDS
• Shatarie Johnson
• Thomas G Johnson, MD
• Chelsea Curry Jordan, DDS

• Orthodontics and Dentofacial Orthopedics Dentistry in Fountain, CO
• Providers in Fountain, CO by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Colorado

• 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.

Verify at the official NPI Registry.