Active NPI
Johnson Prosthetics & Orthotics LLC
- Prosthetic/Orthotic Supplier
- Joplin, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetic/Orthotic Supplier
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Greg Johnson, CO, BOCP
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20250207000867 | MO | DME Supplier - Medical Supply Company With Orthotic-Prosthetic | 8921538844 | Practice locations: Joplin, MO |
Laboratory certificates & supplier records
Derived by NPIMapThese 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
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Johnson Prosthetics & Orthotics LLC | 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 assignment |
National Provider Directory
National Provider Directory- Tax ID family
- Johnson Prosthetics Orthotics LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Prosthetic/Orthotic Supplier
- Fayetteville, AR
- NPI 1114893252
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.