Darryl C Johnson DO PC

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

02790 Issued in IA

Legal business name

DARRYL C JOHNSON DO PC

Practice address

1912 Middle Rd
Suite 200
Bettendorf, IA 52722-7600

Phone

(563) 355-7770

Fax

(563) 355-7997

NPI assigned

Aug 16, 2011

Last updated

Aug 29, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Darryl C Johnson

Title

Physician

Phone

(563) 355-7770

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1313452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346198400000",
    "number": "1427337849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1912 MIDDLE RD",
            "address_2": "SUITE 200",
            "city": "BETTENDORF",
            "state": "IA",
            "postal_code": "527227600",
            "telephone_number": "563-355-7770",
            "fax_number": "563-355-7997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1912 MIDDLE RD",
            "address_2": "SUITE 200",
            "city": "BETTENDORF",
            "state": "IA",
            "postal_code": "527227600",
            "telephone_number": "563-355-7770",
            "fax_number": "563-355-7997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DARRYL C JOHNSON DO PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-16",
        "last_updated": "2012-08-29",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "DARRYL",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "563-355-7770"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "IA",
            "license": "02790",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4097246",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brittany Dalton, D.O.
• Aubree Dane
• Myra S Daniel, MD
• Karly Rae Dankert, PA-C
• Dianna Marie Darland, LMT, DC
• Kara Dasso, DPT
• Kailie Daum, PT
• Davenport Iowa Homecare LLC
• Connor Davenport, MD
• William Davidson III, M.D.

• Obstetrics & Gynecology Physician in Bettendorf, IA
• Providers in Bettendorf, IA by specialty
• Obstetrics & Gynecology Physician in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2012; 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.