Active NPI
Leonard Wesly Johnson
- Driver
- Las Vegas, NV
National Provider Identifier
1912770199
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Driver
- Practice address
- 7100 Grand Montecito Pkwy Unit 1020
Las Vegas, NV 89149-0263 - Phone
- (725) 777-6590
- NPI assigned
- Oct 31, 2023
- Last updated
- Oct 31, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Other Technician | 247200000X | |||
| Contractor | 171W00000X | |||
| Driver | 172A00000X | 2000064787 | NV | |
| Driver | 172A00000X | Primary |
Addresses
Primary practice location
7100 Grand Montecito Pkwy Unit 1020
Las Vegas, NV 89149-0263
Mailing address
7100 Grand Montecito Pkwy Unit 1020
Las Vegas, NV 89149-0263
Phone (725) 777-6590
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2000064787 | NV | MD | Driver |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1698710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1698710400000",
"number": "1912770199",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7100 GRAND MONTECITO PKWY UNIT 1020",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891490263",
"telephone_number": "725-777-6590"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7100 GRAND MONTECITO PKWY UNIT 1020",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891490263",
"telephone_number": "725-777-6590"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "LEONARD",
"middle_name": "WESLY",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-10-31",
"last_updated": "2023-10-31",
"certification_date": "2023-10-31",
"status": "A"
},
"taxonomies": [
{
"code": "247200000X",
"taxonomy_group": "",
"desc": "Technician, Other",
"state": null,
"license": null,
"primary": false
},
{
"code": "171W00000X",
"taxonomy_group": "",
"desc": "Contractor",
"state": null,
"license": null,
"primary": false
},
{
"code": "172A00000X",
"taxonomy_group": "",
"desc": "Driver",
"state": "NV",
"license": "2000064787",
"primary": false
},
{
"code": "172A00000X",
"taxonomy_group": "",
"desc": "Driver",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.