Carldale Johnson

Primary specialty

Secured Medical Transport (VAN)Taxonomy code 343800000X

License

21265190 Issued in TX

Practice address

1700 University Blvd
Apt. 224
Round Rock, TX 78665-8005

Phone

(512) 659-1519

NPI assigned

Mar 15, 2016

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

State licenses

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

{
    "created_epoch": "1458000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458000000000",
    "number": "1962863217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 UNIVERSITY BLVD",
            "address_2": "APT. 224",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786658005",
            "telephone_number": "512-659-1519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 UNIVERSITY BLVD",
            "address_2": "APT. 224",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786658005",
            "telephone_number": "512-659-1519"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "CARLDALE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-03-15",
        "last_updated": "2016-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "343800000X",
            "taxonomy_group": "",
            "desc": "Secured Medical Transport (VAN)",
            "state": "TX",
            "license": "21265190",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adam James Johnson, DPT
• Ariana Deanda Adams Johnson
• Bobby Johnson Jr., DO
• Brook Voitier Johnson, M.A.
• Bryan S Johnson, PA-C
• Carra Johnson
• Elisha Faye Johnson, LCSW
• James G. Johnson, JAMES JOHNSON
• Jasmine Johnson
• Jerry Allen Johnson, PA-C

• All providers in Round Rock, TX
• Secured Medical Transport (VAN) in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2016; 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.