Active NPI
Van a Johnson Jr MD PLLC
- Surgery Physician
- Dallas, TX
National Provider Identifier
1093085292
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- Legal business name
- VAN A JOHNSON JR MD PLLC
- Practice address
- 3430 W Wheatland Rd
Ste 416
Dallas, TX 75237-3446 - Phone
- (972) 298-2739
- Fax
- (972) 692-0889
- NPI assigned
- Jan 4, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Van Allan Johnson Jr., MD
- Title
- Owner
- Phone
- (214) 924-0245
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | Primary |
Addresses
Primary practice location
3430 W Wheatland Rd
Ste 416
Dallas, TX 75237-3446
Mailing address
3430 W Wheatland Rd
Ste 416
Dallas, TX 75237-3446
Phone (972) 298-2739
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1325635200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1325635200000",
"number": "1093085292",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3430 W WHEATLAND RD",
"address_2": "STE 416",
"city": "DALLAS",
"state": "TX",
"postal_code": "752373446",
"telephone_number": "972-298-2739",
"fax_number": "972-692-0889"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3430 W WHEATLAND RD",
"address_2": "STE 416",
"city": "DALLAS",
"state": "TX",
"postal_code": "752373446",
"telephone_number": "972-298-2739",
"fax_number": "972-692-0889"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VAN A JOHNSON JR MD PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2012-01-04",
"last_updated": "2012-01-04",
"status": "A",
"authorized_official_last_name": "JOHNSON",
"authorized_official_first_name": "VAN",
"authorized_official_middle_name": "ALLAN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "214-924-0245",
"authorized_official_name_prefix": "Dr.",
"authorized_official_name_suffix": "Jr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.