Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1699928432 Individual Practitioner Male Practitioner

Greg Anthony Johnson , CO, BOCP

Prosthetist • Joplin, MO

Professional Overview & Biography Verified Profile Summary

Greg Johnson, CO, BOCP is a registered healthcare professional specializing in Prosthetist in Joplin, MO. Practice services are available at 1027 S MAIN ST STE LL3 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1027 S Main St Ste Ll3

Joplin, MO 648014565

Telephone 4177269964
Fax 4176224449
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Prosthetist in Joplin, MO

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
1 Specialists

Practicing in Joplin, MO (26 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

CMS Verified: 2026-06-01
Prosthetist Primary Specialty

NUCC Taxonomy Code: 224P00000X

State License AR OP00095

A health care professional who is specifically educated and trained to manage comprehensive prosthetic patient care for individuals who have sustained complete or partial limb loss or absence. Prosthetists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care.

Orthotist

NUCC Taxonomy Code: 222Z00000X

State License AR OP00095

A health care professional who is specifically educated and trained to manage comprehensive orthotic patient care, including musculoskeletal and neuromuscular anomalies resulting from injuries or disease processes involving the lower extremity, upper extremity or spinal segment/s and positional deformation of the cranium. Orthotists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Board Of Certification
C51253
Commercial Insurance / Payer ID American Board Of Certification
CO004206

Secondary Practice Locations

1742 E Joyce Blvd Ste 1

Fayetteville, AR 727035260

Phone: 4794853366

Career & Practice History Timeline

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

10 Historical Events
📍
Updated Practice Location October 29, 2024

Registered at 1027 S MAIN ST STE LL3, JOPLIN, MO 648014565 (Tel: 4177269964)

📍
Updated Business Mailing Address October 29, 2024

Registered at 2039 N PENELOPE LN, FAYETTEVILLE, AR 727047206 (Tel: 4793059374)

👤
Provider Name / Credentials Updated October 29, 2024

Recorded as GREG JOHNSON, C.O., BOCP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 29, 2024

Prosthetist (License #OP00095 in AR)

NPI Profile Active October 24, 2008

NPI status registered as active in NPPES database

📍
Updated Practice Location October 24, 2008

Registered at 2200 FORT ROOTS DR, NORTH LITTLE ROCK, AR 721141709 (Tel: 5012571610)

📍
Updated Business Mailing Address October 24, 2008

Registered at 137B AUBURN DR, NORTH LITTLE ROCK, AR 721182711 (Tel: 5012571610)

👤
Provider Name / Credentials Updated October 24, 2008

Recorded as GREG JOHNSON, C.O.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 24, 2008

Orthotist (License #OP00095 in AR)

🟢
Initial NPI Registration & Enumeration October 24, 2008

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: 1699928432
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 24, 2008
Last Update: June 01, 2026
Sole Proprietor: No

Mailing Address

2039 N Penelope Ln

Fayetteville, AR 727047206

Phone: 4793059374

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.