Eric Johnson LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

202569 Issued in CO

Legal business name

ERIC JOHNSON LLC

Doing business as

Smile Colorado Family Dental

Practice address

9101 Pearl St #217
Thornton, CO 80229-8022

Phone

(303) 576-9016

NPI assigned

Jan 10, 2018

Last updated

Jan 10, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Eric M Johnson, DMDNPI 1417324138

Title

Owner

Phone

(602) 697-0934

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Smile Colorado Family Dental Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Eric Johnson, DMD

  • Dentist
  • Thornton, CO
  • NPI 1417324138
  Authorized official Same address or phone

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

{
    "created_epoch": "1515542400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1515542400000",
    "number": "1881101939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9101 PEARL ST STE 217",
            "city": "THORNTON",
            "state": "CO",
            "postal_code": "802294353",
            "telephone_number": "303-576-9016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9101 PEARL ST #217",
            "city": "THORNTON",
            "state": "CO",
            "postal_code": "802298022",
            "telephone_number": "303-576-9016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ERIC JOHNSON LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-10",
        "last_updated": "2018-01-10",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "602-697-0934",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CO",
            "license": "202569",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9000143289",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Smile Colorado Family Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Suzan Lauri Enlow, MA
• Bonnie Gray Ennis, LCSW, LAC
• Jasmine Enriquez
• Byeong Ho Eom
• Jessica Lynn Eret, PA
• Lora Lee Erickson, LPC
• Kassidy Ann Erikson
• Dorothea Lorell Erwin, NP
• Victoria Esher, RN
• Anna Gabriela Espinoza

• Dental Clinic/Center in Thornton, CO
• Providers in Thornton, CO by specialty
• Dental Clinic/Center in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2018; 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.