Gregory E Johnson, M.D.

Primary specialty

Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X

License

77190 Issued in NM

Practice address

225 E Idaho Ave
#17
Las Cruces, NM 88005-3257

Phone

(505) 526-5525

Fax

(505) 541-0498

NPI assigned

Mar 10, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1173484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1750413258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 E IDAHO AVE",
            "address_2": "#17",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880053257",
            "telephone_number": "505-526-5525",
            "fax_number": "505-541-0498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 E IDAHO AVE",
            "address_2": "#17",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880053257",
            "telephone_number": "505-526-5525",
            "fax_number": "505-541-0498"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "GREGORY",
        "middle_name": "E",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-10",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "NM",
            "license": "77190",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "NM009528",
            "state": "NM"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Z3673",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PRESBYTERIAN HEALTH",
            "identifier": "201023525",
            "state": "NM"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "B9667",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ashley K Johnson, DMD
• David Freeland Johnson, PHARMACIST
• Deborah E. Johnson, MS, CCC-SLP
• Deborah Kay Johnson
• Dharma Johnson
• Janine A Johnson, M.S. CCC-SLP
• Jasmine L Johnson
• Jessica Johnson, MA
• Jordan E Johnson, DO
• Paula Johnson

• Endocrinology, Diabetes & Metabolism Physician in Las Cruces, NM
• Providers in Las Cruces, NM by specialty
• Endocrinology, Diabetes & Metabolism Physician in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.