Active NPI
Nicholas Joseph Johnson, D.V.M.
- Veterinarian
- Belgrade, MT
National Provider Identifier
1487077848
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Veterinarian
- License
- 4084
- Practice address
- 215 Bolinger Rd
Belgrade, MT 59714-8239 - Phone
- (406) 388-6275
- Fax
- (406) 388-9868
- NPI assigned
- Jan 21, 2014
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Veterinarian | 174M00000X | 4084 | MT | Primary |
Addresses
Primary practice location
215 Bolinger Rd
Belgrade, MT 59714-8239
Mailing address
215 Bolinger Rd
Belgrade, MT 59714-8239
Phone (406) 388-6275
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4084 | MT | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1390262400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1390262400000",
"number": "1487077848",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "215 BOLINGER RD",
"city": "BELGRADE",
"state": "MT",
"postal_code": "597148239",
"telephone_number": "406-388-6275",
"fax_number": "406-388-9868"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "215 BOLINGER RD",
"city": "BELGRADE",
"state": "MT",
"postal_code": "597148239",
"telephone_number": "406-388-6275",
"fax_number": "406-388-9868"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "NICHOLAS",
"middle_name": "JOSEPH",
"name_prefix": "Dr.",
"credential": "D.V.M.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-01-21",
"last_updated": "2014-01-21",
"status": "A"
},
"taxonomies": [
{
"code": "174M00000X",
"taxonomy_group": "",
"desc": "Veterinarian",
"state": "MT",
"license": "4084",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Belgrade, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.