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Deactivated NPI 1528300191 Deactivated / Inactive NPI Male Practitioner

Dr. Theodore Herbert Johnson , MD

General Practice • New Britain, CT

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Theodore Johnson has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date March 21, 2013
NPI Deactivation Date February 12, 2026
Total Practice Duration ~13 Years of Practice (2013 – 2026)

Professional Overview & Biography Verified Profile Summary

Dr. Theodore Johnson, MD was a registered General Practice practicing in New Britain, CT. Throughout an active medical career spanning 13 years, Dr. Johnson provided care at the practice location at 141 S MOUNTAIN DR until profile deactivation on 2026-02-12.

Practice Location & Contact Primary Location

Practice Address

141 S Mountain Dr

New Britain, CT 060521511

Telephone 8602233435

Specialty Benchmarks & Practice Insights

Comparative analytics for General Practice in New Britain, CT

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 22.3 Yrs
Regional Practice Density
1 Specialists

Practicing in New Britain, CT (87 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

General Practice Primary Specialty

NUCC Taxonomy Code: 208D00000X

State License CT 012538

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated February 12, 2026

Record deactivated on February 12, 2026

NPI Profile Active March 21, 2013

NPI status registered as active in NPPES database

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Updated Practice Location March 21, 2013

Registered at 141 S MOUNTAIN DR, NEW BRITAIN, CT 060521511 (Tel: 8602233435)

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Updated Business Mailing Address March 21, 2013

Registered at 141 S MOUNTAIN DR, NEW BRITAIN, CT 060521511 (Tel: 8602233435)

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Provider Name / Credentials Updated March 21, 2013

Recorded as THEODORE JOHNSON, M.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) March 21, 2013

General Practice (License #012538 in CT)

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Initial NPI Registration & Enumeration March 21, 2013

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1528300191
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 21, 2013
Last Update: March 21, 2013
Deactivation Date: February 12, 2026

Mailing Address

141 S Mountain Dr

New Britain, CT 060521511

Phone: 8602233435

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.