Individual provider Active NPI

David Andrew Johnson, M.D.

  • Family Medicine Physician
  • Carson City, NV
National Provider Identifier
1568596229
Registry record updated May 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
12752 Issued in NV
Practice address
915 Mountain St
Carson City, NV 89703-3819
Phone
(775) 515-0022
Fax
(775) 515-0044
NPI assigned
Mar 15, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 3, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 12752 NV Primary

Addresses

Primary practice location

915 Mountain St
Carson City, NV 89703-3819

Mailing address

915 Mountain St
Carson City, NV 89703-3819
Phone (775) 515-0022

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080904000374 NV Practitioner - Family Practice 8527147917 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Nevada School of Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
CTH Physicians ClinicGroup PAC ID 1254787203, 107 clinicians
Carson Tahoe Physician ClinicsGroup PAC ID 1153479027, 104 clinicians

Practice addresses (Care Compare)

775 Fleischmann Way
FL 2
Carson City, NV 89703-2995
Phone (775) 445-7756

915 Mountain St
Carson City, NV 89703-3819
Phone (775) 515-0022

925 Ironwood Dr
Suite 2102
Minden, NV 89423-5180
Phone (775) 445-7745

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of tissue36
Removal of skin lesions17
Removal of nail tissue1-10
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
12752NVMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
David a Johnson MD Inc Family Medicine CurrentSince Jul 25, 2022 Accepting new patients
CTH Physicians Clinic CurrentSince Dec 1, 2025 Accepting new patients
Sparks Family Hospital Inc Past Accepting new patients
Mt Grant General Hospital Past Accepting new patients
Washoe Barton Medical Clinic a Nevada Nonprofit Corporation Past Accepting new patients
Prime Healthcare Services - Reno LLC Past Accepting new patients

Locations

2874 N Carson St
Ste 200
Carson City, NV 89706
Phone (775) 283-3220

775 Fleischmann Way
Carson City, NV 89703
Phone (775) 445-5632

775 Fleischmann Way
Fl 2
Carson City, NV 89703
Phone (775) 445-5632

915 Mountain St
Carson City, NV 89703
Phone (775) 515-0022

901 Medical Center Dr
Ste 203
Dayton, NV 89403
Phone (775) 445-7630

925 Ironwood Dr
Ste 2105
Minden, NV 89423
Phone (775) 445-7745

925 Ironwood Dr
Ste 2102
Minden, NV 89423
Phone (775) 445-7745

10539 Professional Cir
Ste 200
Reno, NV 89521
Phone (775) 445-7026

Interoperability endpoints

  • Direct secure messaging: djohnson422033@direct.med.utah.edu
  • Direct secure messaging: david.johnson.1@26517.direct.athenahealth.com

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Carson Tahoe Regional Medical CenterCarson City, NV, CCN 290019 Hospital Corporate Director Jan 1, 2021

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1173916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683072000000",
    "number": "1568596229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "915 MOUNTAIN ST",
            "city": "CARSON CITY",
            "state": "NV",
            "postal_code": "897033819",
            "telephone_number": "775-515-0022",
            "fax_number": "775-515-0044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "915 MOUNTAIN ST",
            "city": "CARSON CITY",
            "state": "NV",
            "postal_code": "897033819",
            "telephone_number": "775-515-0022",
            "fax_number": "775-515-0044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "DAVID",
        "middle_name": "ANDREW",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-15",
        "last_updated": "2023-05-03",
        "certification_date": "2023-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NV",
            "license": "12752",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carson City, NV

Sources for this page

Verify at the official NPI Registry.