Theodore Coatany Johnson, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

106326 Issued in CO

Practice address

4855 Ward Rd
Suite 700
Wheat Ridge, CO 80033

Phone

(303) 422-8748

Fax

(303) 239-5599

NPI assigned

Dec 5, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Bonatidudley PLLC

  dba Branin Center for Dentistry Wheat Ridge

  • Dental Clinic/Center
  • Wheat Ridge, CO
  • NPI 1083301402
  NPD (past)
• New Day Dentistry PLLC

  dba New Day Dentistry Wheat Ridge

  • General Practice Dentistry
  • Wheat Ridge, CO
  • NPI 1841014453
  NPD (past)

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1972661494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4855 WARD RD",
            "address_2": "SUITE 700",
            "city": "WHEAT RIDGE",
            "state": "CO",
            "postal_code": "80033",
            "telephone_number": "303-422-8748",
            "fax_number": "303-239-5599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4855 WARD RD",
            "address_2": "SUITE 700",
            "city": "WHEAT RIDGE",
            "state": "CO",
            "postal_code": "80033",
            "telephone_number": "303-422-8748",
            "fax_number": "303-239-5599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "THEODORE",
        "middle_name": "COATANY",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CO",
            "license": "106326",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew R Johnson, PHARMD
• Regina Johnson, MD
• Sarah Maureen Johnson
• Shelby Johnson, PHARMD
• Taryn Johnson
• Wesley Johnson
• Yvonne Melissa Johnson, B.S.
• Audrey Johnstone
• Leroy Joiner III
• Jane Christin Jones, LPC

• Dentist in Wheat Ridge, CO
• Providers in Wheat Ridge, CO by specialty
• Dentist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.