Theodore J Johnson, LMP

Primary specialty

SpecialistTaxonomy code 174400000X

License

MA00010180 Issued in WA

Practice address

2132 44TH Ave SW
Seattle, WA 98116-2102

Phone

(206) 261-0160

Fax

(206) 937-1933

NPI assigned

Mar 27, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Ted J Johnson Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1239148800000",
    "number": "1982722625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2132 44TH AVE SW",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981162102",
            "telephone_number": "206-261-0160",
            "fax_number": "206-937-1933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2132 44TH AVE SW",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981162102",
            "telephone_number": "206-261-0160",
            "fax_number": "206-937-1933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "THEODORE",
        "middle_name": "J",
        "credential": "LMP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-27",
        "last_updated": "2009-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "WA",
            "license": "MA00010180",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TED",
            "last_name": "JOHNSON",
            "middle_name": "J",
            "credential": "LMP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Susan J Johnson, RN
• Susanne Jane Johnson, ARNP
• Suzanne G Johnson, PHARMD
• Sylvia C Johnson, M.D.
• Tashay M Johnson
• Timothy R Johnson, MD
• Todd Anthony Johnson, DC
• Traci Johnson, RN
• Tylia Johnson, MD
• Valorie Johnson

• Specialist in Seattle, WA
• Providers in Seattle, WA by specialty
• Specialist in Washington

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