Active NPI
Johnson Mompoint
- Physician Assistant
- Miami, FL
National Provider Identifier
1548037633
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 10108
- Practice address
- 865 NW 155TH LN Apt 108
Miami, FL 33169-6157 - Phone
- (919) 407-0712
- NPI assigned
- Dec 7, 2023
- Last updated
- Dec 7, 2023
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 10108 | AZ | Primary |
Addresses
Primary practice location
865 NW 155TH LN Apt 108
Miami, FL 33169-6157
Mailing address
18850 NW 57TH Ave Apt 307
Hialeah, FL 33015-7022
Phone (786) 806-7546
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 |
|---|---|---|---|
| 10108 | AZ | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1701907200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701907200000",
"number": "1548037633",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18850 NW 57TH AVE APT 307",
"city": "HIALEAH",
"state": "FL",
"postal_code": "330157022",
"telephone_number": "786-806-7546"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "865 NW 155TH LN APT 108",
"city": "MIAMI",
"state": "FL",
"postal_code": "331696157",
"telephone_number": "919-407-0712"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOMPOINT",
"first_name": "JOHNSON",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-12-07",
"last_updated": "2023-12-07",
"certification_date": "2023-12-07",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "AZ",
"license": "10108",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.