Individual provider Active NPI

David Warren Johnson, MS, CCC-A

  • Audiologist
  • Silverhill, AL
National Provider Identifier
1699893339
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
0915A Issued in AL
Practice address
21083 Emperor Phillips LN
Silverhill, AL 36576-3353
Phone
(251) 945-1076
NPI assigned
Mar 27, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 0915A AL Primary

Addresses

Primary practice location

21083 Emperor Phillips LN
Silverhill, AL 36576-3353

Mailing address

21083 Emperor Phillips LN
Silverhill, AL 36576-3353
Phone (251) 945-1076

Other identifiers 3

IdentifierTypeStateIssuer
5088OtherMNREGISTERED AUDIOLOGIST
08065JOOtherMNBLUE CROSS BLUE SHIELD PR
2187OtherMNCERTIFIED HEARING AID DIS

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
0915AALMDAudiologist

NPI Registry JSON

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

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1699893339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21083 EMPEROR PHILLIPS LN",
            "city": "SILVERHILL",
            "state": "AL",
            "postal_code": "365763353",
            "telephone_number": "251-945-1076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21083 EMPEROR PHILLIPS LN",
            "city": "SILVERHILL",
            "state": "AL",
            "postal_code": "365763353",
            "telephone_number": "251-945-1076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "DAVID",
        "middle_name": "WARREN",
        "name_prefix": "Mr.",
        "credential": "MS, CCC-A",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "AL",
            "license": "0915A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGISTERED AUDIOLOGIST",
            "identifier": "5088",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD PR",
            "identifier": "08065JO",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CERTIFIED HEARING AID DIS",
            "identifier": "2187",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Silverhill, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.