John L. Diller, MD

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

00013892 Issued in WA

Legal business name

JOHN L. DILLER, MD

Practice address

610 S Meridian
Puyallup, WA 98371-5908

Phone

(253) 845-2629

Fax

(253) 845-2433

NPI assigned

Jun 3, 2010

Organization subpart

No

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

Authorized official

Name

Dr. John L Diller, M.D.

Title

Owner

Phone

(253) 845-2629

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• William H Morrison, M.D.

  • Internal Medicine Physician
  • Puyallup, WA
  • NPI 1457327447
  NPD (past)

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

{
    "created_epoch": "1275523200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1275523200000",
    "number": "1982924767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 S MERIDIAN",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983715908",
            "telephone_number": "253-845-2629",
            "fax_number": "253-845-2433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 S MERIDIAN",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983715908",
            "telephone_number": "253-845-2629",
            "fax_number": "253-845-2433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN L. DILLER, MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-03",
        "last_updated": "2010-06-03",
        "status": "A",
        "authorized_official_last_name": "DILLER",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "253-845-2629",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "WA",
            "license": "00013892",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1217207",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Navi Johal, NP
• Mendhy Johansen, LMP
• Paige E Johansen
• John Daniel M.D, PS, Inc.
• John Hung, MD, PLLC
• Alexinna Ciana Johns, M.D.
• Darrick Lee Johns, MA, NA, AAC
• David Allan Johns, DMD
• Julia Linn Johns, DPT
• Kenneth Stuart Johns, D.C.

• Clinic/Center in Puyallup, WA
• Providers in Puyallup, WA by specialty
• Clinic/Center in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 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.