Active NPI
Delbert John, LADAC
- Addiction (Substance Use Disorder) Counselor
- Shiprock, NM
National Provider Identifier
1972713899
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 4047
- Practice address
- Hwy 491 North Pinion Street
Shiprock, NM 87420 - Phone
- (505) 368-1429
- NPI assigned
- May 22, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 4047 | NM | Primary |
Addresses
Primary practice location
Hwy 491 North Pinion Street
Shiprock, NM 87420
Mailing address
PO Box 1830
Shiprock, NM 87420-1830
Phone (505) 368-1429
Other practice location 1
Dorm Two, Yucca Street
Shiprock, NM 87420-1830
Phone (505) 368-1050 ext. 1477
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 |
|---|---|---|---|
| 4047 | NM | MD | Registered Respiratory Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179792000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1562889600000",
"number": "1972713899",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1830",
"city": "SHIPROCK",
"state": "NM",
"postal_code": "874201830",
"telephone_number": "505-368-1429"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "HWY 491 NORTH PINION STREET",
"city": "SHIPROCK",
"state": "NM",
"postal_code": "87420",
"telephone_number": "505-368-1429"
}
],
"practiceLocations": [
{
"address_1": "Dorm Two, Yucca Street",
"address_purpose": "LOCATION",
"city": "Shiprock",
"state": "NM",
"postal_code": "874201830",
"country_code": "US",
"telephone_number": "505-368-1050 x1477",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JOHN",
"first_name": "DELBERT",
"name_prefix": "Mr.",
"credential": "LADAC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-22",
"last_updated": "2019-07-12",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NM",
"license": "4047",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Shiprock, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.