Individual provider Active NPI

Trevor Gregg Johnson, DMD

  • Oral and Maxillofacial Surgery (Dentist)
  • Westminster, CO
National Provider Identifier
1952562514
Registry record updated Jul 5, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
9701 Issued in CO
Practice address
8700 W 101St Ave Ste 300
Westminster, CO 80021
Phone
(303) 865-7550
Fax
(303) 865-7551
NPI assigned
Jun 17, 2008
Last updated
Jul 5, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 5, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 9701 CO Primary

Addresses

Primary practice location

8700 W 101St Ave Ste 300
Westminster, CO 80021

Mailing address

10350 Federal Blvd Unit 300
Federal Heights, CO 80260-8616
Phone (303) 865-7550

Other practice location 1

10350 Federal Blvd Unit 300
Federal Heights, CO 80260-8616
Phone (303) 865-7550

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
9701COMDOral and Maxillofacial Surgery (Dentist)

Practice roles

OrganizationSpecialtyStatusNew patients
J and J LLC Oral and Maxillofacial Surgery Past Accepting new patients
Dr. Gerald W Trammell P.C. Oral and Maxillofacial Surgery Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1213660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1530748800000",
    "number": "1952562514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10350 FEDERAL BLVD UNIT 300",
            "city": "FEDERAL HEIGHTS",
            "state": "CO",
            "postal_code": "802608616",
            "telephone_number": "303-865-7550",
            "fax_number": "303-865-7551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8700 W 101ST AVE STE 300",
            "city": "WESTMINSTER",
            "state": "CO",
            "postal_code": "80021",
            "telephone_number": "303-865-7550",
            "fax_number": "303-865-7551"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10350 Federal Blvd Unit 300",
            "address_purpose": "LOCATION",
            "city": "Federal Heights",
            "state": "CO",
            "postal_code": "802608616",
            "country_code": "US",
            "telephone_number": "303-865-7550",
            "fax_number": "303-865-7551",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "TREVOR",
        "middle_name": "GREGG",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-17",
        "last_updated": "2018-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "CO",
            "license": "9701",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westminster, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 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.