Dallas Johnson

Primary specialty

Attendant Care ProviderTaxonomy code 3747A0650X

Practice address

936 Gardner Rd
Four Oaks, NC 27524-8681

Phone

(919) 796-2527

NPI assigned

Apr 12, 2022

Last updated

Apr 12, 2022By 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 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1649721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649721600000",
    "number": "1891437695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "936 GARDNER RD",
            "city": "FOUR OAKS",
            "state": "NC",
            "postal_code": "275248681",
            "telephone_number": "919-796-2527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "936 GARDNER RD",
            "city": "FOUR OAKS",
            "state": "NC",
            "postal_code": "275248681",
            "telephone_number": "919-796-2527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "DALLAS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-04-12",
        "last_updated": "2022-04-12",
        "certification_date": "2022-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3747A0650X",
            "taxonomy_group": "",
            "desc": "Technician, Attendant Care Provider",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Judy Beasley Holland, LPCA
• Keisha Garrett Horton, LCSWA
• Jossi Isler
• April Dawn Jackson, NP
• Emma Katherine Jernigan, LCSWA
• Olivia Johnson, MD
• Johnston County Group Homes, Inc.
• Johnston County Pharmacies Inc (Realo Discount Drug)
• Johnston County Pharmacies, Inc
• Holly Roberts Jones, MSW, LCSW

• Attendant Care Provider in Four Oaks, NC
• Providers in Four Oaks, NC by specialty
• Attendant Care Provider in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 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.