Individual provider Active NPI

Donald W. Johns, M.D.

  • Specialist
  • Las Vegas, NV
National Provider Identifier
1780615013
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
6806 Issued in NV
Practice address
2020 E Desert Inn Rd
Las Vegas, NV 89109-3211
Phone
(702) 796-5505
Fax
(702) 732-9830
NPI assigned
Jul 5, 2006
Sex
Male
Sole proprietor
No

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
Specialist 174400000X 6806 NV Primary

Addresses

Primary practice location

2020 E Desert Inn Rd
Las Vegas, NV 89109-3211

Mailing address

2020 E Desert Inn Rd
Las Vegas, NV 89109-3211
Phone (702) 796-5505

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091023000159 NV Practitioner - Neurology 7012054083 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
6806NVMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Skilled Facility Health Care Solutions Inc CurrentSince Jan 8, 2018 Accepting new patients

Locations

3746 Foothill Blvd
La Crescenta, CA 91214
Phone (323) 574-0387

3747 Foothill Blvd
#B140
La Crescenta, CA 91214
Phone 3104455999255

12021 Wilshire Blvd
Los Angeles, CA 90025
Phone (310) 348-1900

112 N Curry St
Carson City, NV 89703
Phone (702) 209-0289

3773 Howard Hughes Pkwy
Ste 500S
Las Vegas, NV 89169
Phone (702) 756-6282

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1780615013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2020 E DESERT INN RD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891093211",
            "telephone_number": "702-796-5505",
            "fax_number": "702-732-9830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 E DESERT INN RD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891093211",
            "telephone_number": "702-796-5505",
            "fax_number": "702-732-9830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNS",
        "first_name": "DONALD",
        "middle_name": "W.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NV",
            "license": "6806",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.