Individual provider Active NPI

David Johnson, MD

  • Anesthesiology Physician
  • Dallas, TX
National Provider Identifier
1104024561
Registry record updated Nov 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
ME177219 Issued in FL
Practice address
12222 N Central Expy
Dallas, TX 75243-3755
Phone
(817) 516-8811
Fax
(817) 516-8444
NPI assigned
Jul 6, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X ME177219 FL Primary
Anesthesiology Physician 207L00000X N9380 TX

Addresses

Primary practice location

12222 N Central Expy
Dallas, TX 75243-3755

Mailing address

12222 N Central Expy Ste 400
Dallas, TX 75243-3764
Phone (817) 516-8811

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT, WY, NC, FL4 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20171016001087 UT Practitioner - Anesthesiology 0042482523 Reassigns benefits to 1 organization
I20240903000694 WY Practitioner - Anesthesiology 0042482523 Reassigns benefits to 2 organizations
I20250523001703 NC Practitioner - Anesthesiology 0042482523 Reassigns benefits to 1 organization
I20251022002248 FL Practitioner - Anesthesiology 0042482523 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Baylor College of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mt Ogden Anesthesia Group LLCGroup PAC ID 4587976436, 13 clinicians

Practice addresses (Care Compare)

4364 Washington Blvd
Ogden, UT 84403-1866
Phone (801) 479-4470

52 Underwood St
Orlando, FL 32806-1110
Phone (954) 939-5000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME177219FLMDAnesthesiology Physician
N9380TXMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Anesthesiologists of Greater Orlando Inc Anesthesiology Current Accepting new patients
Anesthesiologists of Greater Orlando Inc Anesthesiology CurrentSince Oct 1, 2025 Accepting new patients
Medstream Anesthesia PLLC Anesthesiology CurrentSince May 15, 2025 Accepting new patients
North Lincoln County Hospital District CurrentSince Aug 21, 2024 Accepting new patients
North Lincoln County Hospital District CurrentSince Aug 21, 2024 Accepting new patients
Anesthesiologists of Greater Orlando Inc Anesthesiology CurrentSince Oct 1, 2025 Accepting new patients
Stratus Dominion Anesthesia Associates PLLC Anesthesiology PastSince Jan 14, 2017 Accepting new patients

Locations

380 Rinehart Rd
Lake Mary, FL 32746
Phone (321) 842-0550

555 W State Road 434
Longwood, FL 32750
Phone (407) 767-1200

83 W Miller St
Orlando, FL 32806
Phone (321) 841-5281

22 Underwood St
Orlando, FL 32806
Phone (321) 841-6263

52 Underwood St
Orlando, FL 32806
Phone (321) 841-3581

9400 Turkey Lake Rd
Orlando, FL 32819
Phone (321) 843-5500

800 N Justice St
Hendersonvlle, NC 28791
Phone (828) 696-1000

830 Rockford St
Mount Airy, NC 27030
Phone (336) 719-7000

901 Adams St
Afton, WY 83110
Phone (307) 885-5800

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1183680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762819200000",
    "number": "1104024561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12222 N CENTRAL EXPY STE 400",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752433764",
            "telephone_number": "817-516-8811",
            "fax_number": "817-516-8444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12222 N CENTRAL EXPY",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752433755",
            "telephone_number": "817-516-8811",
            "fax_number": "817-516-8444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "DAVID",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-07-06",
        "last_updated": "2025-11-11",
        "certification_date": "2025-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "FL",
            "license": "ME177219",
            "primary": true
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "TX",
            "license": "N9380",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.