David P Johnson

Primary specialty

Portable X-ray and/or Other Portable Diagnostic Imaging SupplierTaxonomy code 335V00000X

License

500498218 Issued in IL

Legal business name

DAVID P JOHNSON

Doing business as

Johnson Portable Xray Service

Practice address

8198 Commerce Dr Ste a
Loves Park, IL 61111-5710

Phone

(815) 544-7120

Fax

(815) 885-4271

NPI assigned

May 26, 2006

Last updated

Jul 21, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. David P Johnson, R.T.R.

Title

Owner Operator

Phone

(815) 544-7120

Specialties & licenses 1

Addresses

Other names 1

• Johnson Portable Xray Service Doing business as

Locations

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

{
    "created_epoch": "1148601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1801842968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8198 COMMERCE DR STE A",
            "city": "LOVES PARK",
            "state": "IL",
            "postal_code": "611115710",
            "telephone_number": "815-544-7120",
            "fax_number": "815-885-4271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8198 COMMERCE DR STE A",
            "city": "LOVES PARK",
            "state": "IL",
            "postal_code": "611115710",
            "telephone_number": "815-544-7120",
            "fax_number": "815-885-4271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID P JOHNSON",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-26",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER OPERATOR",
        "authorized_official_telephone_number": "815-544-7120",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "R.T.R."
    },
    "taxonomies": [
        {
            "code": "335V00000X",
            "taxonomy_group": "",
            "desc": "Portable X-ray and/or Other Portable Diagnostic Imaging Supplier",
            "state": "IL",
            "license": "500498218",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Johnson Portable Xray Service",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Crusaders Central Clinic Association (Crusader Community Health)
• Christina M Cruz, M.D.
• Angie Curran, LMT
• Jeffrey Allan Dannatt, OD
• Mark J Dargene, D.D.S.
• Victoria Reid Davidson
• Sara Debelak, MS
• Pedro Bantug Deguzman, MD
• Dekalb Eye Consultants, LLC (Yavitz Eye Center)
• Daniel James Deligio, O.D.

• Portable X-ray and/or Other Portable Diagnostic Imaging Supplier in Loves Park, IL
• Providers in Loves Park, IL by specialty
• Portable X-ray and/or Other Portable Diagnostic Imaging Supplier in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.