Individual provider Active NPI

Joseph Fields-Johnson, DO

  • Family Medicine Physician
  • Richmond, VA
National Provider Identifier
1174935738
Registry record updated Jun 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0102205911 Issued in VA
Practice address
1312 Hull St
Richmond, VA 23224-3921
Phone
(804) 251-0402
Fax
(804) 351-8404
NPI assigned
May 29, 2014
Last updated
Jun 15, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 20A15655 CA
Family Medicine Physician 207Q00000X 0102205911 VA Primary

Addresses

Primary practice location

1312 Hull St
Richmond, VA 23224-3921

Mailing address

PO Box 14569
Richmond, VA 23221-0569
Phone (804) 251-0402

Other practice location 1

3451 E 12th St
Oakland, CA 94601-3463
Phone (510) 535-3302

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Jun 15, 2020 through Jun 15, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
20A15655CAMDFamily Medicine Physician
0102205911VAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dandelion Health, PLLC CurrentSince May 22, 2022 Accepting new patients

Locations

1312 Hull St
Richmond, VA 23224
Phone (804) 251-0402

Interoperability endpoints

  • Direct secure messaging: joseph.fieldsjohnson@225312028622852.direct.elationemr.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1401321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592179200000",
    "number": "1174935738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 14569",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232210569",
            "telephone_number": "804-251-0402",
            "fax_number": "804-351-8404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1312 HULL ST",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232243921",
            "telephone_number": "804-251-0402",
            "fax_number": "804-351-8404"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3451 E 12th St",
            "address_purpose": "LOCATION",
            "city": "Oakland",
            "state": "CA",
            "postal_code": "946013463",
            "country_code": "US",
            "telephone_number": "510-535-3302",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FIELDS-JOHNSON",
        "first_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-05-29",
        "last_updated": "2020-06-15",
        "certification_date": "2020-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "20A15655",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0102205911",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

Verify at the official NPI Registry.