NPIMap

Organization Active NPI

Joseph E Johnson MD & Assoc LTD

  • Family Medicine Physician
  • Sparks, NV
National Provider Identifier
1881723609
Registry record updated Nov 12, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
JOSEPH E JOHNSON MD & ASSOC LTD
Practice address
3160 Vista Blvd
Sparks, NV 89436-6703
Phone
(775) 352-7200
Fax
(775) 352-7222
NPI assigned
Mar 5, 2007
Last updated
Nov 12, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2014

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

Authorized official

Name
Dr. Joseph Johnson, M.D.NPI 1790764488
Title
Owner
Phone
(775) 352-7200

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU Primary

Addresses

Primary practice location

3160 Vista Blvd
Sparks, NV 89436-6703

Mailing address

3160 Vista Blvd
Sparks, NV 89436-6703
Phone (775) 352-7200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040714000886 NV Part B Supplier - Clinic/Group Practice 4981683976 Receives reassigned benefits from 7 practitioners
Practice locations: Sparks, NV

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1415750400000",
    "number": "1881723609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3160 VISTA BLVD",
            "city": "SPARKS",
            "state": "NV",
            "postal_code": "894366703",
            "telephone_number": "775-352-7200",
            "fax_number": "775-352-7222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3160 VISTA BLVD",
            "city": "SPARKS",
            "state": "NV",
            "postal_code": "894366703",
            "telephone_number": "775-352-7200",
            "fax_number": "775-352-7222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSEPH E JOHNSON MD & ASSOC LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-05",
        "last_updated": "2014-11-12",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "775-352-7200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sparks, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.