David C Johnson MD PC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

14158 Issued in AZ

Legal business name

DAVID C JOHNSON MD PC

Practice address

20950 N Tatum Blvd
Suite 380
Phoenix, AZ 85050-4200

Phone

(480) 419-2280

Fax

(480) 219-2290

NPI assigned

Aug 25, 2009

Organization subpart

No

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

Authorized official

Name

Ms. Kristi Mendoza

Title

Office Mananger

Phone

(480) 219-2280

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kevin Scott Olin, PH.D.

  • Clinical Psychologist
  • Tempe, AZ
  • NPI 1043293632
  NPD (past)

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

{
    "created_epoch": "1251158400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1251158400000",
    "number": "1972736981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20950 N TATUM BLVD",
            "address_2": "SUITE 380",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850504200",
            "telephone_number": "480-419-2280",
            "fax_number": "480-219-2290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20950 N TATUM BLVD",
            "address_2": "SUITE 380",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850504200",
            "telephone_number": "480-419-2280",
            "fax_number": "480-219-2290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID C JOHNSON MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-25",
        "last_updated": "2009-08-25",
        "status": "A",
        "authorized_official_last_name": "MENDOZA",
        "authorized_official_first_name": "KRISTI",
        "authorized_official_title_or_position": "OFFICE MANANGER",
        "authorized_official_telephone_number": "480-219-2280",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "AZ",
            "license": "14158",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Davenport, LMSW
• Thomas Naef Davenport, D.D.S.
• David a Vertullo MD PC
• David a. Patterson DDS LLC
• David a. Pearman, D.D.S.,P.C.
• David C. Zeman, M.D., P.C.
• David Crowell MD LTD
• David D. Kahlstorf
• David England DO PC
• David Grossblat MD PC

• All providers in Phoenix, AZ
• General Practice Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2009; 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.