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Johnny Divine
NPI 1275092991 · Customized Equipment (DME) · Golden City, MO
Johnny Divine is a Customized Equipment (DME) provider in Golden City, MO (NPI 1275092991).
Provider details
- NPI number
- 1275092991
- Entity type
- Individual
- Primary specialty
- Customized Equipment (DME)Suppliers
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Suppliers
Profile Score
Established profile(60/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
507 Main Street
Golden City, MO 64748
Phone: (417) 262-2524
Street-level locationGet directions
Mailing address
Po Box 41
Golden City, MO 64748
Registry dates
- Enumerated
- 2019-03-13
- Last updated
- 2019-03-13
Frequently asked questions
- What is Johnny Divine's NPI number?
- Johnny Divine's National Provider Identifier (NPI) is 1275092991, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Johnny Divine's specialty?
- Johnny Divine is listed in the NPPES registry with a primary specialty of Customized Equipment (DME) (Suppliers).
- Where is Johnny Divine located?
- Johnny Divine's practice location on file with NPPES is 507 Main Street, Golden City, MO 64748.
- What is Johnny Divine's phone number?
- The practice phone number listed in the NPPES registry for Johnny Divine is (417) 262-2524.
- Is Johnny Divine's NPI active?
- Yes — Johnny Divine's NPI (1275092991) is active in the NPPES registry as of the last update on 2019-03-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.