MEDICARE: DANIEL J JOHNSON DO

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207X00000X	Orthopaedic Surgery Physician	12310194-1204	UT

General Provider Information

NPI Number	:	1356720221
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DANIEL J JOHNSON DO

Provider Business Mailing Address
First Line	:	PO BOX 5546
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80217-5546
Country	:	US
Telephone Number	:	801-475-3500
Fax Number	:	801-475-3489

Provider Business Practice Location Address
First Line	:	1041 S MEDICAL DR STE 202
Second Line	:
City	:	BRIGHAM CITY
State	:	UT
Zip	:	84302-3293
Country	:	US
Telephone Number	:	385-238-3375
Fax Number	:	385-238-3376

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/26/2015
Last Update Date	:	02/17/2026

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