Zachery Cole Johansen

Primary specialty

Technician/TechnologistTaxonomy code 156F00000X

Practice address

405 W Greenlawn Ave Ste 200
Lansing, MI 48910-2889

Phone

(248) 621-4792

NPI assigned

Feb 8, 2021

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1612742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612742400000",
    "number": "1659963015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2721 HANNAH BLVD APT 8012",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "488236884",
            "telephone_number": "319-538-6186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 W GREENLAWN AVE STE 200",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489102889",
            "telephone_number": "248-621-4792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHANSEN",
        "first_name": "ZACHERY",
        "middle_name": "COLE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-02-08",
        "last_updated": "2021-02-08",
        "certification_date": "2021-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156F00000X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anushree Jha
• Divij Krishna Jha, MD
• Shawn M. Jobe, M.D.
• Robert Edward Jock, PA-C
• Bilky Joda-Miller, CMT, LMT & DOULA
• John J. Hagerty DDS, PC
• John M Murphy D.D.S.
• John N Flood, DO, PC
• John P Dohm PLLC
• John T. Day, DDS, PC

• All providers in Lansing, MI
• Technician/Technologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2021; 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.