Active NPI
Matthew D Johnston, MD
- Family Medicine Physician
- Salt Lake City, UT
National Provider Identifier
1982692307
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 9824877-1205
- Practice address
- 1255 East 3900 South
Salt Lake City, UT 84124 - Phone
- (918) 272-2247
- NPI assigned
- Oct 10, 2005
- Last updated
- Sep 29, 2026
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 20266 | OK | |
| Family Medicine Physician | 207Q00000X | 9824877-1205 | UT | Primary |
Addresses
Primary practice location
1255 East 3900 South
Salt Lake City, UT 84124
Mailing address
1255 East 3900 South
Suite 300
Salt Lake City, UT 84124
Phone (918) 488-6001
Other practice location 1
13600 E 86th St N
Suite 400
Owasso, OK 74055-8731
Phone (918) 272-2247
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100091330A | Medicaid | OK | |
| 500522075 | Other | OK | MEDICARE GROUP PIN |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20266 | OK | MD | Family Medicine Physician |
| 9824877-1205 | UT | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cherokee Nation | Past | Accepting new patients | |
| Cherokee Nation | Past | Accepting new patients | |
| Claremore Physicians LLC | Past | Accepting new patients |
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/2d405cde-1d8b-4a50-adff-ca7776cd856e/
Organizations & group practices 3
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 Cherokee Nation Public Health
- Public Health or Welfare Agency
- Tahlequah, OK
- NPI 1013884154
-
- Multi-Specialty Clinic/Center
- Tahlequah, OK
- NPI 1093722324
-
- Clinic/Center
- Claremore, OK
- NPI 1982692216
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1128902400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1790640000000",
"number": "1982692307",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1255 EAST 3900 SOUTH",
"address_2": "SUITE 300",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "84124",
"telephone_number": "918-488-6001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1255 EAST 3900 SOUTH",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "84124",
"telephone_number": "918-272-2247"
}
],
"practiceLocations": [
{
"address_1": "13600 E 86th St N",
"address_2": "Suite 400",
"address_purpose": "LOCATION",
"city": "Owasso",
"state": "OK",
"postal_code": "740558731",
"country_code": "US",
"telephone_number": "918-272-2247",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JOHNSTON",
"first_name": "MATTHEW",
"middle_name": "D",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-10",
"last_updated": "2026-09-29",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "OK",
"license": "20266",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "UT",
"license": "9824877-1205",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100091330A",
"state": "OK"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE GROUP PIN",
"identifier": "500522075",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Salt Lake City, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.