Dana M Johnson, CPM, LM

Primary specialty

MidwifeTaxonomy code 176B00000X

License

DEMLM10142140 Issued in OR

Practice address

464 NE Norton Ave
Bend, OR 97701-4387

Phone

(541) 318-6961

NPI assigned

May 27, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Motherwise Community Birth Center

  • Birthing Clinic/Center
  • Bend, OR
  • NPI 1831372929
  NPD (past)

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

{
    "created_epoch": "1306454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1306454400000",
    "number": "1326331026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19485 KEMPLE DR",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977021911",
            "telephone_number": "541-312-2161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "464 NE NORTON AVE",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977014387",
            "telephone_number": "541-318-6961"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "DANA",
        "middle_name": "M",
        "credential": "CPM, LM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-05-27",
        "last_updated": "2011-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "OR",
            "license": "DEMLM10142140",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrew James Johnson, MD
• Bette T. Johnson, APN
• Bradley E Johnson, DMD
• Brett Johnson, PT
• Carmen Marie Johnson, LMT
• Elizabeth Marsh Johnson
• Gabrielle Johnson
• James Edward Johnson, MD
• Jeffrey J. Johnson, D.D.S.
• Jenna Rae Johnson, LCSW

• Midwife in Bend, OR
• Providers in Bend, OR by specialty
• Midwife in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.