Active NPI
Daniel Joseph Johnson
- Contractor
- Mondovi, WI
National Provider Identifier
1780154997
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Contractor
- License
- 16693
- Practice address
- 234 Columbia St
Mondovi, WI 54755-1104 - Phone
- (715) 559-7978
- NPI assigned
- Nov 29, 2018
- 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 |
|---|---|---|---|---|
| Contractor | 171W00000X | 16693 | WI | Primary |
Addresses
Primary practice location
234 Columbia St
Mondovi, WI 54755-1104
Mailing address
234 Columbia St
Mondovi, WI 54755-1104
Phone (715) 559-7978
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1543449600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1543449600000",
"number": "1780154997",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "234 COLUMBIA ST",
"city": "MONDOVI",
"state": "WI",
"postal_code": "547551104",
"telephone_number": "715-559-7978"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "234 COLUMBIA ST",
"city": "MONDOVI",
"state": "WI",
"postal_code": "547551104",
"telephone_number": "715-559-7978"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "DANIEL",
"middle_name": "JOSEPH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-11-29",
"last_updated": "2018-11-29",
"status": "A"
},
"taxonomies": [
{
"code": "171W00000X",
"taxonomy_group": "",
"desc": "Contractor",
"state": "WI",
"license": "16693",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mondovi, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.