Johnny Alex Toler

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

562 Twilight Blue Ave
North Las Vegas, NV 89032-8227

Phone

(323) 218-1535

NPI assigned

Aug 13, 2020

Last updated

Aug 13, 2020By 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 2

Addresses

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": "1597276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597276800000",
    "number": "1437760444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "562 TWILIGHT BLUE AVE",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890328227",
            "telephone_number": "323-218-1535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "562 TWILIGHT BLUE AVE",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890328227",
            "telephone_number": "323-218-1535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOLER",
        "first_name": "JOHNNY",
        "middle_name": "ALEX",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-08-13",
        "last_updated": "2020-08-13",
        "certification_date": "2020-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "376K00000X",
            "taxonomy_group": "",
            "desc": "Nurse's Aide",
            "state": "NV",
            "license": "CNA034060",
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anna To, D.D.S
• Tori Tobin
• Rex Wayne Tobler
• Saruntorn Tokumi
• Mariane Tolentino, IDMT
• Judith Leone Tolman, MSW
• Jessica Tom, DC, ATC
• Marilou Velasco Tomas
• Sofia Rosas Tomas
• Todd Alexander Tomburo, DC

• Behavior Technician in North Las Vegas, NV
• Providers in North Las Vegas, NV by specialty
• Behavior Technician in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2020; 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.