Individual provider Active NPI

David M Johnson, D.D.S.

  • General Practice Dentistry
  • Colorado Springs, CO
National Provider Identifier
1851398226
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
377 Issued in CO
Practice address
620 Southpointe CT
Ste 210
Colorado Springs, CO 80906-3885
Phone
(719) 527-9098
Fax
(719) 527-3395
NPI assigned
Jun 30, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 377 CO Primary

Addresses

Primary practice location

620 Southpointe CT
Ste 210
Colorado Springs, CO 80906-3885

Mailing address

620 Southpointe CT
Ste 210
Colorado Springs, CO 80906-3885
Phone (719) 527-9098

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150710002323 CO Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 4587976006

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
377COMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Partnership for Excellence, P.L.L.C. General Practice 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.

NPI Registry JSON

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

{
    "created_epoch": "1120089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1851398226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 SOUTHPOINTE CT",
            "address_2": "STE 210",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809063885",
            "telephone_number": "719-527-9098",
            "fax_number": "719-527-3395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 SOUTHPOINTE CT",
            "address_2": "STE 210",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809063885",
            "telephone_number": "719-527-9098",
            "fax_number": "719-527-3395"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "DAVID",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-30",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CO",
            "license": "377",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

Verify at the official NPI Registry.