NPI Portal NPI Lookup & Verification

Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Mary Diane Johnson Tmd Outlet

Orthotic Fitter in Lebanon, MO · enumerated 2006 · authorized official Mary Johnson, Owner/Abc Certified Fitter (Rem0094.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1649389388

Verified

See something wrong? Report a correction

Registry record

Entity type Organization (Type 2)
Legal business name Mary Diane Johnson Tmd Outlet
Practice address 702 S Monroe, Lebanon, MO, 65536
Phone (417) 588-3404
Fax (417) 588-3404
Enumeration date Aug 29, 2006
Last updated in NPPES Jun 16, 2008

Taxonomy & classification

225000000X Orthotic Fitter Respiratory, Developmental, Rehabilitative and Restorative Service Providers Primary

Authorized official

Name Mary Johnson
Title Owner/Abc Certified Fitter (Rem0094
Phone (417) 588-3404

Other identifiers

Identifier Type State Issuer
174584 Other MO BLUE CROSS/BLUE SHIELD

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.
What type of organization is Mary Diane Johnson Tmd Outlet?
Mary Diane Johnson Tmd Outlet is registered in NPPES as a Orthotic Fitter (its primary provider taxonomy).

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2008-06-16.