REGINALD DEON JOHNSON
NPI 1356029482
Driver in Glen Carbon, IL

Active since July 10, 2023
3 QUAIL HOLLOW CT APT A, GLEN CARBON, IL 62034(618) 954-5885 Get Directions Write a Review

NPPES record last updated: July 10, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Reginald Deon Johnson NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

REGINALD DEON JOHNSON (NPI 1356029482) is an individual driver provider in Glen Carbon, Illinois, licensed in Missouri (T980502029) and active in the NPI registry since July 2023.

NPPES Registry Identity

NPI1356029482
Entity TypeIndividualMale
Primary Taxonomy172A00000X
Provider Legal NameREGINALD DEON JOHNSON
Location Address3 QUAIL HOLLOW CT APT AGlen Carbon, IL 62034-2920
Mailing Address3 Quail Hollow Ct Apt AGlen Carbon, IL 62034-2920 · (618) 954-5885
Sole ProprietorNo
Enumeration DateJuly 10, 2023
NPPES CertifiedJuly 8, 2023
NPI 1356029482 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDriverOther Service Providers
Taxonomy Code172A00000X
License Licensed in MO · T980502029
Definition
A person employed to operate a motor vehicle as a carrier of persons or property.
3 QUAIL HOLLOW CT APT A, Glen Carbon, IL 62034

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 Reginald Johnson's NPI number?

The NPI number for Reginald Johnson is 1356029482. It was assigned to this individual provider in the NPPES registry on July 10, 2023.

Where is Reginald Johnson located?

Reginald Johnson practices at 3 Quail Hollow Ct Apt A, Glen Carbon, IL 62034. The listed phone number is (618) 954-5885.

What is Reginald Johnson's specialty?

The primary specialty registered for this NPI is Driver with taxonomy code 172A00000X.

When was this NPI record last updated?

The NPPES record for Reginald Johnson was last updated on July 10, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.