Organization Active NPI

Dr. David C. Johnson, P.C.

  • Durable Medical Equipment & Medical Supplies
  • West Des Moines, IA
National Provider Identifier
1972773315
Registry record updated May 19, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
DR. DAVID C. JOHNSON, P.C.
Practice address
1313 Pleasant Dr
West Des Moines, IA 50265-2327
Phone
(515) 223-1092
NPI assigned
Feb 29, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 19, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
David C Johnson
Title
Owner
Phone
(515) 223-1092

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

1313 Pleasant Dr
West Des Moines, IA 50265-2327

Mailing address

1313 Pleasant Dr
West Des Moines, IA 50265-2327
Phone (515) 223-1092

Other identifiers 1

IdentifierTypeStateIssuer
0185546MedicaidIA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1204243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1274227200000",
    "number": "1972773315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1313 PLEASANT DR",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502652327",
            "telephone_number": "515-223-1092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1313 PLEASANT DR",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502652327",
            "telephone_number": "515-223-1092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. DAVID C. JOHNSON, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-29",
        "last_updated": "2010-05-19",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "515-223-1092"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0185546",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Des Moines, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2010; 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.