Active NPI
Trevor Gregg Johnson, DMD
- Oral and Maxillofacial Surgery (Dentist)
- Westminster, CO
National Provider Identifier
1952562514
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)
- License
- 9701
- 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, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 9701 | CO | MD | Oral and Maxillofacial Surgery (Dentist) |
Practice roles
| Organization | Specialty | Status | New 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.
-
dba Comfort Dental Oral Surgery Northwest
- Oral and Maxillofacial Surgery (Dentist)
- Westminster, CO
- NPI 1295186708
-
- Oral and Maxillofacial Surgery (Dentist)
- Federal Heights, CO
- NPI 1669746889
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.