Individual provider Active NPI

Nadine K. Johnson-Giannopoulos, M.D.

  • Hematology & Oncology Physician
  • Dallas, TX
National Provider Identifier
1477524163
Registry record updated Mar 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
04-17256 Issued in KS
Practice address
818 Clermont St
Dallas, TX 75223-1214
Phone
(913) 909-8889
NPI assigned
Jan 30, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X R8968 MO
Hematology & Oncology Physician 207RH0003X 04-17256 KS Primary

Addresses

Primary practice location

818 Clermont St
Dallas, TX 75223-1214

Mailing address

818 Clermont St
Dallas, TX 75223-1214
Phone (913) 909-8889

Other names 1

  • Nadine K. Johnson Former name

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)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
04-17256KSMDHematology & Oncology Physician
R8968MOMDHematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kansas City Cancer Center, LLC Hematology & Oncology Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1138579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458000000000",
    "number": "1477524163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "818 CLERMONT ST",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752231214",
            "telephone_number": "913-909-8889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "818 CLERMONT ST",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752231214",
            "telephone_number": "913-909-8889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON-GIANNOPOULOS",
        "first_name": "NADINE",
        "middle_name": "K.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-30",
        "last_updated": "2016-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "MO",
            "license": "R8968",
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "KS",
            "license": "04-17256",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NADINE",
            "last_name": "JOHNSON",
            "middle_name": "K.",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2016; 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.