Mary Diane Johnson Tmd Outlet
NPI 1649389388 · Orthotic Fitter · Lebanon, MO
Mary Diane Johnson Tmd Outlet is a Orthotic Fitter organization in Lebanon, MO (NPI 1649389388).
Provider details
- NPI number
- 1649389388
- Entity type
- Organization
- Primary specialty
- Orthotic FitterRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Organization subpart
- No
- Authorized official
- Mary Johnson, Owner/Abc Certified Fitter (rem0094(417) 588-3404
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% 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
Mailing address
Registry dates
- Enumerated
- 2006-08-29
- Last updated
- 2008-06-16
Frequently asked questions
- What is Mary Diane Johnson Tmd Outlet's NPI number?
- Mary Diane Johnson Tmd Outlet's National Provider Identifier (NPI) is 1649389388, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Mary Diane Johnson Tmd Outlet?
- Mary Diane Johnson Tmd Outlet is classified in the NPPES registry as Orthotic Fitter (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Mary Diane Johnson Tmd Outlet located?
- Mary Diane Johnson Tmd Outlet's practice location on file with NPPES is 702 S Monroe, Lebanon, MO 65536-3570.
- What is Mary Diane Johnson Tmd Outlet's phone number?
- The practice phone number listed in the NPPES registry for Mary Diane Johnson Tmd Outlet is (417) 588-3404.
- Who is the authorized official for Mary Diane Johnson Tmd Outlet?
- The authorized official listed on Mary Diane Johnson Tmd Outlet's NPPES record is Mary Johnson, Owner/Abc Certified Fitter (rem0094. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Mary Diane Johnson Tmd Outlet's NPI active?
- Yes — Mary Diane Johnson Tmd Outlet's NPI (1649389388) is active in the NPPES registry as of the last update on 2008-06-16.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.