DOMINIC DWAYNE JOHNSON
NPI 1104618529
Community Health Worker in Carbondale, IL
About Dominic Dwayne Johnson NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DOMINIC DWAYNE JOHNSON (NPI 1104618529) is an individual community health worker in Carbondale, Illinois and active in the NPI registry since May 2025.
NPPES Registry Identity
Specialties & Licenses
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Dominic Johnson's NPI number?
The NPI number for Dominic Johnson is 1104618529. It was assigned to this individual provider in the NPPES registry on May 21, 2025.
Where is Dominic Johnson located?
Dominic Johnson practices at 300 W Oak St, Carbondale, IL 62901. The listed phone number is (217) 891-9662.
What is Dominic Johnson's specialty?
The primary specialty registered for this NPI is Community Health Worker with taxonomy code 172V00000X.
When was this NPI record last updated?
The NPPES record for Dominic Johnson was last updated on May 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.