Dale Gilman Johnson, MD

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

3721 Issued in MT

Practice address

828 S California St
Helena, MT 59601-5669

Phone

(406) 443-1579

NPI assigned

May 3, 2007

Last updated

Jul 8, 2007By 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

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1427260595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "828 S CALIFORNIA ST",
            "city": "HELENA",
            "state": "MT",
            "postal_code": "596015669",
            "telephone_number": "406-443-1579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "828 S CALIFORNIA ST",
            "city": "HELENA",
            "state": "MT",
            "postal_code": "596015669",
            "telephone_number": "406-443-1579"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "DALE",
        "middle_name": "GILMAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MT",
            "license": "3721",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03-7310",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• John M Mott PC
• Dory Johnson Henderson
• Allen Gunnar Johnson, D.D.S.
• Caryn Leigh Johnson, LCPC
• Curtis David Johnson, PHARMD, RPH
• Elizabeth Ann Johnson, CNP
• Joelle Johnson
• John Philip Johnson, MD
• Kathleen Johnson, M.S.
• Kyle Ann Johnson, LCPC, LAC

• Surgery Physician in Helena, MT
• Providers in Helena, MT by specialty
• Surgery Physician in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.