Justin Rodney Johnsen, M.D.

Primary specialty

Ophthalmic Plastic and Reconstructive Surgery PhysicianTaxonomy code 207WX0200X

License

6139294-1205 Issued in UT

Practice address

2505 E 3300 S Ste 202
Salt Lake City, UT 84109-2737

Phone

(801) 807-8811

Fax

(801) 769-0904

NPI assigned

Aug 5, 2006

Last updated

Mar 20, 2025By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://app.meldrx.com/api/fhir/ec21ei41

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

• Olympus Health Management LLC

  • General Practice Physician
  • Mesa, AZ
  • NPI 1225645625
  NPD Authorized official
• MD Center for Facial Rejuvenation

  dba RenewMD

  • Ophthalmologic Surgery Clinic/Center
  • Salt Lake City, UT
  • NPI 1467520437
  NPD (past) Authorized official
• Allante Family Medicine PLLC

  dba Allante Life Med Spa

  • Family Nurse Practitioner
  • Meridian, ID
  • NPI 1326345661
  NPD (past)
• Emerald Coast Eye Institute LLC

  • Ophthalmology Physician
  • Fort Walton Beach, FL
  • NPI 1669421467
  NPD (past)
• Emerald Coast Eye Institute, LLC

  • Durable Medical Equipment & Medical Supplies
  • Fort Walton Beach, FL
  • NPI 1164638680

  Ophthalmology

  NPD (past)
• Henry Ford Health Macomb-Oakland Hospital

  dba Henry Ford Warren Hospital

  • Social Worker
  • Warren, MI
  • NPI 1548609761
  NPD (past)
• Henry Ford Semi Medical Group

  • Endocrinology, Diabetes & Metabolism Physician
  • Novi, MI
  • NPI 1114133485
  NPD (past)

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

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742428800000",
    "number": "1679582282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2505 E 3300 S STE 202",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841092737",
            "telephone_number": "801-807-8811",
            "fax_number": "801-769-0904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2505 E 3300 S STE 202",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841092737",
            "telephone_number": "801-807-8811",
            "fax_number": "801-769-0904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSEN",
        "first_name": "JUSTIN",
        "middle_name": "RODNEY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-05",
        "last_updated": "2025-03-20",
        "certification_date": "2025-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207WX0200X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Ophthalmic Plastic and Reconstructive Surgery",
            "state": "UT",
            "license": "6139294-1205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Johns
• Hayden Johns
• Kelly Johns, MS RD CDCES
• Matthew Richards Johns, PA-C
• Shane Johns
• Nathan C Johnsen
• Samantha M Johnsn
• Amanda Johnson-Bazira
• Adam Timothy Johnson
• Adrienne Jackson Johnson, AUD

• Ophthalmic Plastic and Reconstructive Surgery Physician in Salt Lake City, UT
• Providers in Salt Lake City, UT by specialty
• Ophthalmic Plastic and Reconstructive Surgery Physician in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2025; 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.