Organization Active NPI

Johnson Prosthetics & Orthotics LLC

  • Prosthetic/Orthotic Supplier
  • Joplin, MO
National Provider Identifier
1508686106
Registry record updated Jun 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
JOHNSON PROSTHETICS & ORTHOTICS LLC
Practice address
1027 S Main St Ste LL3
Joplin, MO 64801-4565
Phone
(417) 726-9964
Fax
(417) 622-4449
NPI assigned
Oct 16, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2025

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

Authorized official

Name
Greg Johnson, CO, BOCPNPI 1699928432
Title
Owner/Operator
Phone
(479) 305-9374

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetic/Orthotic Supplier 335E00000X Primary

Addresses

Primary practice location

1027 S Main St Ste LL3
Joplin, MO 64801-4565

Mailing address

1027 S Main St Ste LL3
Joplin, MO 64801-4565
Phone (417) 726-9964

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250207000867 MO DME Supplier - Medical Supply Company With Orthotic-ProstheticDME Supplier - Pedorthic Personnel 8921538844 Practice locations: Joplin, MO

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Johnson Prosthetics & Orthotics LLC1027 S Main St, Joplin, MO 64801-4565(417) 726-9964 Blood Glucose Monitors/Supplies (Mail Order)|Orthoses: Custom Fabricated|Orthoses: Prefabricated (Non-Custom Fabricated)|Orthoses: Off-The-Shelf|Limb Prostheses|Diabetic Shoes and Inserts|Diabetic Shoes/Inserts - Custom|Lymphedema Compression Treatment Items Does not accept assignmentParticipating since Feb 3, 2025

National Provider Directory

National Provider Directory
Tax ID family
Johnson Prosthetics Orthotics LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

1027 S Main St
Ste LL3
Joplin, MO 64801
Phone (417) 726-9964

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1729036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748908800000",
    "number": "1508686106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1027 S MAIN ST STE LL3",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648014565",
            "telephone_number": "417-726-9964",
            "fax_number": "417-622-4449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1027 S MAIN ST STE LL3",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648014565",
            "telephone_number": "417-726-9964",
            "fax_number": "417-622-4449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHNSON PROSTHETICS & ORTHOTICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-16",
        "last_updated": "2025-06-03",
        "certification_date": "2025-06-03",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "GREG",
        "authorized_official_title_or_position": "OWNER/OPERATOR",
        "authorized_official_telephone_number": "479-305-9374",
        "authorized_official_credential": "CO, BOCP"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Joplin, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.