Active NPI
Dennis Johnston, C.O. CPOA
- Orthotist
- Pleasant Hill, CA
National Provider Identifier
1265850259
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthotist
- Practice address
- 3161 Putnam Blvd
Pleasant Hill, CA 94523-4650 - Phone
- (925) 943-1119
- Fax
- (925) 943-2493
- NPI assigned
- Apr 7, 2014
- Last updated
- Apr 7, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthotist | 222Z00000X | NU | Primary |
Addresses
Primary practice location
3161 Putnam Blvd
Pleasant Hill, CA 94523-4650
Mailing address
3161 Putnam Blvd
Pleasant Hill, CA 94523-4650
Phone (925) 943-1119
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CPOA0318 | Other | VA | AMERICAN BOARD FOR CERTIFICATION IN ORTHOTICS AND PROSTHETICS AND PEDORTHICS |
| C51588 | Other | MD | BOARD OF CERTIFICATION/ACCREDITATION,INTERNATIONAL |
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)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1396828800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1396828800000",
"number": "1265850259",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3161 PUTNAM BLVD",
"city": "PLEASANT HILL",
"state": "CA",
"postal_code": "945234650",
"telephone_number": "925-943-1119",
"fax_number": "925-943-2493"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3161 PUTNAM BLVD",
"city": "PLEASANT HILL",
"state": "CA",
"postal_code": "945234650",
"telephone_number": "925-943-1119",
"fax_number": "925-943-2493"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSTON",
"first_name": "DENNIS",
"credential": "C.O. CPOA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-04-07",
"last_updated": "2014-04-07",
"status": "A"
},
"taxonomies": [
{
"code": "222Z00000X",
"taxonomy_group": "",
"desc": "Orthotist",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERICAN BOARD FOR CERTIFICATION IN ORTHOTICS AND PROSTHETICS AND PEDORTHICS",
"identifier": "CPOA0318",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BOARD OF CERTIFICATION/ACCREDITATION,INTERNATIONAL",
"identifier": "C51588",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}Other providers in Pleasant Hill, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.