Earl Dean Johnson

Primary specialty

Home Modifications ContractorTaxonomy code 171WH0202X

License

2705113047 Issued in VA

Practice address

7206 Stone Crossing Dr
Fredericksburg, VA 22407-7359

Phone

(540) 841-3346

NPI assigned

Apr 5, 2018

Last updated

Apr 5, 2018By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1522886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522886400000",
    "number": "1417454547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7206 STONE CROSSING DR",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224077359",
            "telephone_number": "540-841-3346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7206 STONE CROSSING DR",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224077359",
            "telephone_number": "540-841-3346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "EARL",
        "middle_name": "DEAN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-04-05",
        "last_updated": "2018-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171WH0202X",
            "taxonomy_group": "",
            "desc": "Contractor, Home Modifications",
            "state": "VA",
            "license": "2705113047",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2705113047",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carol Leigh Johnson, OTR/L
• Denail F Johnson, LPC
• Dianne Johnson, NP, DNP
• Doris Yvett Johnson, CNM, NP
• Douglas R Johnson, MD
• Fred Allen Johnson, PTA
• Guinevere Johnson, DO
• Jamie Johnson
• Jeaneane Elizabeth Johnson, COTA
• Jessica Johnson, M.S. CCC-SLP

• Home Modifications Contractor in Fredericksburg, VA
• Providers in Fredericksburg, VA by specialty
• Home Modifications Contractor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2018; 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.