Organization Active NPI

David R Johnson MD PC

  • Ophthalmology Physician
  • Scottsdale, AZ
National Provider Identifier
1962750810
Registry record updated Aug 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
10913 Issued in AZ
Legal business name
DAVID R JOHNSON MD PC
Practice address
10619 N Hayden Rd
Suite 101
Scottsdale, AZ 85260-8529
Phone
(480) 948-0733
Fax
(480) 443-5611
NPI assigned
Aug 27, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2012

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

Authorized official

Name
Dr. David Rodric Johnson, MD
Title
Owner
Phone
(480) 948-0733

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X 10913 AZ Primary

Addresses

Primary practice location

10619 N Hayden Rd
Suite 101
Scottsdale, AZ 85260-8529

Mailing address

10619 N Hayden Rd
Suite 101
Scottsdale, AZ 85260-8529
Phone (480) 948-0733

Other names 1

  • MCCORMICK EYE CENTER Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1346025600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346025600000",
    "number": "1962750810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10619 N HAYDEN RD",
            "address_2": "SUITE 101",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852608529",
            "telephone_number": "480-948-0733",
            "fax_number": "480-443-5611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10619 N HAYDEN RD",
            "address_2": "SUITE 101",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852608529",
            "telephone_number": "480-948-0733",
            "fax_number": "480-443-5611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID R JOHNSON MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-27",
        "last_updated": "2012-08-27",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "RODRIC",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-948-0733",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "AZ",
            "license": "10913",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MCCORMICK EYE CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Scottsdale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2012; 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.