Daniel R Johnson, RDN, LDN, CEP

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

1053031 Issued in CA

Practice address

IHS Pinon Health Center Navajo RT 4
Pinon, AZ 86510

Phone

(928) 674-7166

Fax

(928) 674-7705

NPI assigned

Jul 10, 2014

Last updated

Aug 25, 2015By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Other names 1

• Dan R Johnson Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1404950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1440460800000",
    "number": "1780090761",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. DRAWER PH",
            "city": "CHINLE",
            "state": "AZ",
            "postal_code": "86503",
            "telephone_number": "928-674-7166",
            "fax_number": "928-674-7705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "IHS PINON HEALTH CENTER NAVAJO RT 4",
            "city": "PINON",
            "state": "AZ",
            "postal_code": "86510",
            "telephone_number": "928-674-7166",
            "fax_number": "928-674-7705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "DANIEL",
        "middle_name": "R",
        "credential": "RDN, LDN, CEP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-07-10",
        "last_updated": "2015-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": "MD",
            "license": "DX3643",
            "primary": false
        },
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": "CA",
            "license": "1053031",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "CA",
            "license": "1053031",
            "primary": true
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "MD",
            "license": "DX3643",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DAN",
            "last_name": "JOHNSON",
            "middle_name": "R",
            "credential": "RDN, LDN, CEP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Lauren Kelli Houston, PHARMD
• Madelene Howard, RN
• David A. Jackson, M.D.
• Michelley Jackson, RN
• Laverne James
• Karen Frieda Kilman, PT
• Megan S Klingler, RN
• Jeffrey Lawrence, PT
• Vanessa Lee
• Lisa Michelle Leombruni, PHARM D

• Registered Dietitian in Pinon, AZ
• Providers in Pinon, AZ by specialty
• Registered Dietitian in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2015; 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.