Matha K Johnson

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

107362 Issued in CO

Practice address

7701 Sheridan Blvd
Westminster, CO 80003-2605

Phone

(303) 657-6777

NPI assigned

Feb 16, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1171584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1487798013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "909 LOGAN ST",
            "address_2": "2F",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802033062",
            "telephone_number": "303-467-2294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7701 SHERIDAN BLVD",
            "city": "WESTMINSTER",
            "state": "CO",
            "postal_code": "800032605",
            "telephone_number": "303-657-6777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "MATHA",
        "middle_name": "K",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CO",
            "license": "107362",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KAISER-COMMERCIAL NUMBER",
            "identifier": "006556",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christopher Michael Johnson, DC
• Clifford Dean Johnson, M.D.
• Conrad C Johnson, D.M.D. M.S.D.
• Drake Johnson
• Jeremiah Roger Johnson, PT, DPT, ATC
• Nathan M Johnson, DDS
• Shane Johnson, OD
• Shelly Johnson
• Trevor Gregg Johnson, DMD
• Marissa Johnston, RBT

• Internal Medicine Physician in Westminster, CO
• Providers in Westminster, CO by specialty
• Internal Medicine Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.