Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Samantha Van Dyke Johnson, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1174330112

Samantha Van Dyke Johnson, MD is a Student in an Organized Health Care Education/Training Program in Aurora, Colorado. Licensed in Colorado. Registered with an NPI since 2024.

Licensed in
CO
In the registry since
2024
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

13001 E 17th Pl
Aurora, CO 80045-2570
Phone: (575) 218-5936
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X · Licence TL.0010600 (CO)

Record details

NPI number1174330112
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedDecember 13, 2024
Last updated in NPPESApril 21, 2025
Certification dateApril 21, 2025

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