Active NPI
Joyce Dunn Johnson, MD
- Internal Medicine Physician
- Salt Lake City, UT
National Provider Identifier
1649245705
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 1439901205
- Practice address
- 1060 E 100 S
L10
Salt Lake City, UT 84102 - Phone
- (801) 328-1260
- Fax
- (801) 350-4361
- NPI assigned
- Feb 22, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 1439901205 | UT | Primary |
Addresses
Primary practice location
1060 E 100 S
L10
Salt Lake City, UT 84102
Mailing address
1060 E 100 S
L10
Salt Lake City, UT 84102
Phone (801) 328-1260
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 741401924005 | Medicaid | UT |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1439901205 | UT | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| WH-BM Consultant LLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Specialist
- Salt Lake City, UT
- NPI 1225333842
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140566400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1265673600000",
"number": "1649245705",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1060 E 100 S",
"address_2": "L10",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "84102",
"telephone_number": "801-328-1260",
"fax_number": "801-350-4361"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1060 E 100 S",
"address_2": "L10",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "84102",
"telephone_number": "801-328-1260",
"fax_number": "801-350-4361"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "JOYCE",
"middle_name": "DUNN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-02-22",
"last_updated": "2010-02-09",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "UT",
"license": "1439901205",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "741401924005",
"state": "UT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Salt Lake City, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.