Kimberly D Johnson, DO, PA

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

L3098 Issued in TX

Legal business name

KIMBERLY D JOHNSON, DO, PA

Practice address

1411 N Beckley Ave
Pavilion III, Ste. 352
Dallas, TX 75203-1259

Phone

(214) 943-2249

Fax

(214) 943-8213

NPI assigned

Apr 9, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Kimberly D Johnson, D.O.

Title

Sole Director

Phone

(972) 948-3518

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Housecall Doctors Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1207699200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1319673600000",
    "number": "1023281177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1411 N BECKLEY AVE",
            "address_2": "PAVILION III, STE. 352",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752031259",
            "telephone_number": "214-943-2249",
            "fax_number": "214-943-8213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1411 N BECKLEY AVE",
            "address_2": "PAVILION III, STE. 352",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752031259",
            "telephone_number": "214-943-2249",
            "fax_number": "214-943-8213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIMBERLY D JOHNSON, DO, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-09",
        "last_updated": "2011-10-27",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "SOLE DIRECTOR",
        "authorized_official_telephone_number": "972-948-3518",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "L3098",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "179397801",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Housecall Doctors",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Naomi Kimani
• Stephen J Kimatian, MD
• Erica Penick Kimball
• Thomas E Kimball, MD
• Kimberlea a Roe, M.D., P.a.
• Kimberly Mezera MD PLLC
• Nkiruka Helen Kimble, APRN, PMHNP-BC
• Hillary Kimbley, PH.D.
• Michael Thomas Kimbrell, MD
• Misty Dale Kimbrell, DNP, RN, ACNP-BC

• Internal Medicine Physician in Dallas, TX
• Providers in Dallas, TX by specialty
• Internal Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.