Active NPI
David Joseph Johns, DPM
- Podiatrist
- Worcester, MA
National Provider Identifier
1023088416
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- 0135
- Practice address
- 37 Plantation St
Worcester, MA 01604-4757 - Phone
- (413) 584-4040
- NPI assigned
- Jan 26, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | 1499 | MA | |
| Podiatrist | 213E00000X | 0135 | NH | Primary |
Addresses
Primary practice location
37 Plantation St
Worcester, MA 01604-4757
Mailing address
78 Fieldstone Dr
Londonderry, NH 03053-2706
Phone (603) 401-2031
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0362697 | Medicaid | MA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1499 | MA | MD | Marriage & Family Therapist |
| 135 | NH | MD | Naturopath |
| 0135 | NH | MD | Podiatrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138233600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1488240000000",
"number": "1023088416",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "78 FIELDSTONE DR",
"city": "LONDONDERRY",
"state": "NH",
"postal_code": "030532706",
"telephone_number": "603-401-2031"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "37 PLANTATION ST",
"city": "WORCESTER",
"state": "MA",
"postal_code": "016044757",
"telephone_number": "413-584-4040"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNS",
"first_name": "DAVID",
"middle_name": "JOSEPH",
"credential": "DPM",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-01-26",
"last_updated": "2017-02-28",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "MA",
"license": "1499",
"primary": false
},
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "NH",
"license": "0135",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0362697",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Worcester, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.