Active NPI
James Daniel John, RDN, LDN
- Registered Dietitian
- Chicago, IL
National Provider Identifier
1932670809
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 164.007393
- Practice address
- 1919 W Taylor St Ste 650
Chicago, IL 60612-7246 - Phone
- (312) 996-3057
- NPI assigned
- Dec 17, 2018
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 164.007393 | IL | Primary |
Addresses
Primary practice location
1919 W Taylor St Ste 650
Chicago, IL 60612-7246
Mailing address
1919 W Taylor St Ste 650
Chicago, IL 60612-7246
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240710002354 | IL | Practitioner - Registered Dietitian Or Nutrition Professional | 6305381732 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 164.007393 | IL | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1545004800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1545004800000",
"number": "1932670809",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1919 W TAYLOR ST STE 650",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606127246"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1919 W TAYLOR ST STE 650",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606127246",
"telephone_number": "312-996-3057"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHN",
"first_name": "JAMES",
"middle_name": "DANIEL",
"credential": "RDN, LDN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-12-17",
"last_updated": "2018-12-17",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "IL",
"license": "164.007393",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.