Samantha Madeline Johnston, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

7263 Issued in CO

Practice address

1006 A St
Greeley, CO 80631-2021

Phone

(970) 352-0048

Fax

(970) 352-1120

NPI assigned

Feb 17, 2007

Sex

Female

Sole proprietor

No

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

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: sjohnston20058@choctawnation.direct-ci.com

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.

• Sunrise Community Health

  • Federally Qualified Health Center (FQHC)
  • Greeley, CO
  • NPI 1699073395
  NPD (past)
• Sunrise Community Health

  • Federally Qualified Health Center (FQHC)
  • Loveland, CO
  • NPI 1902005382
  NPD (past)
• Choctaw Nation of Oklahoma

  • Primary Care Clinic/Center
  • Broken Bow, OK
  • NPI 1770559619
  NPD (past)

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

{
    "created_epoch": "1171670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479686400000",
    "number": "1700920253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2930 11TH AVE",
            "city": "EVANS",
            "state": "CO",
            "postal_code": "806201011",
            "telephone_number": "970-350-4606",
            "fax_number": "970-350-4692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1006 A ST",
            "city": "GREELEY",
            "state": "CO",
            "postal_code": "806312021",
            "telephone_number": "970-352-0048",
            "fax_number": "970-352-1120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSTON",
        "first_name": "SAMANTHA",
        "middle_name": "MADELINE",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-17",
        "last_updated": "2016-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CO",
            "license": "7263",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Russell Adam Johnson, M.D.
• Samuel Johnson, MA,LPC
• Steven Wayne Johnson, LPN
• Tanner Colby Johnson, D.C.
• Elena Marie Carol Johnsrud
• Alison Jones
• Chardonnay Jones
• Christopher Donovan Jones, FNP-BC
• Corey Andrew Jones, DO
• David William Jones, PT, DPT

• Dentist in Greeley, CO
• Providers in Greeley, CO by specialty
• Dentist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2016; 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.