Active NPI
Hiram Johnson
- Contractor
- Sparks, NV
National Provider Identifier
1356636716
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Contractor
- Practice address
- 6504 Citori Dr
Sparks, NV 89436-7392 - Phone
- (775) 354-0657
- NPI assigned
- Jun 14, 2011
- Sex
- Male
- Sole proprietor
- Yes
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
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Contractor | 171W00000X | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
6504 Citori Dr
Sparks, NV 89436-7392
Mailing address
6504 Citori Dr
Sparks, NV 89436-7392
Phone (775) 354-0657
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 14, 2011.
{
"created_epoch": "1308009600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1308009600000",
"number": "1356636716",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6504 CITORI DR",
"city": "SPARKS",
"state": "NV",
"postal_code": "894367392",
"telephone_number": "775-354-0657"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6504 CITORI DR",
"city": "SPARKS",
"state": "NV",
"postal_code": "894367392",
"telephone_number": "775-354-0657"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "HIRAM",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-06-14",
"last_updated": "2011-06-14",
"status": "A"
},
"taxonomies": [
{
"code": "171W00000X",
"taxonomy_group": "",
"desc": "Contractor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sparks, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 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.