Individual provider Active NPI

Denise A. Johnson, MD

  • Family Medicine Physician
  • Murphy, TX
National Provider Identifier
1265416580
Registry record updated Mar 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
J9114 Issued in TX
Practice address
170 E FM 544 Ste 112
Murphy, TX 75094-4080
Phone
(469) 626-3215
Fax
(469) 626-3117
NPI assigned
Nov 30, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 20, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X J9114 TX Primary

Addresses

Primary practice location

170 E FM 544 Ste 112
Murphy, TX 75094-4080

Mailing address

170 E FM 544 Ste 112
Murphy, TX 75094-4080
Phone (469) 626-3215

Other identifiers 13

IdentifierTypeStateIssuer
138894401MedicaidTX
138894403MedicaidTX
138894411MedicaidTX
138894402MedicaidTX
138894407MedicaidTX
138894410MedicaidTX
138894412MedicaidTX
138894413MedicaidTX
138894408MedicaidTX
138894404MedicaidTX
138894405MedicaidTX
138894406MedicaidTX
8K0724OtherTXMEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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 1

Enrollment IDStateProvider typePAC IDDetails
I20070919000775 TX Practitioner - Family Practice 8325132467 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
MedhealthGroup PAC ID 9931001567, 435 clinicians

Practice addresses (Care Compare)

170 E FM
544 Suite 112
Murphy, TX 75094-4080
Phone (469) 626-3215

613 S Hwy 78
Suite 200
Wylie, TX 75098-5525
Phone (972) 941-8700

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Medhealth Family Medicine CurrentSince Apr 1, 2018 Accepting new patients
Medhealth CurrentSince Apr 1, 2018 Accepting new patients
Dallas County Hospital District Past Accepting new patients
Advanced Pain & Rehabilitation Association PLLC Past Accepting new patients
Vickery Health Center Family Medicine Past Accepting new patients

Locations

1441 N Beckley Ave
Dallas, TX 75203
Phone (214) 712-2429

5224 S State Highway 360
Grand Prairie, TX 75052
Phone (972) 522-0691

170 E FM 544
Ste 112
Murphy, TX 75094
Phone (469) 626-3215

613 S Highway 78
Wylie, TX 75098
Phone (972) 941-8700

Interoperability endpoints

  • Direct secure messaging: denise.johnson.p64@direct.tenet.nextgenshare.com
  • Direct secure messaging: djohnson85253@dm.mhd.com

Organizations & group practices 5

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 3

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": "1133308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553040000000",
    "number": "1265416580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "170 E FM 544 STE 112",
            "city": "MURPHY",
            "state": "TX",
            "postal_code": "750944080",
            "telephone_number": "469-626-3215",
            "fax_number": "469-262-3117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "170 E FM 544 STE 112",
            "city": "MURPHY",
            "state": "TX",
            "postal_code": "750944080",
            "telephone_number": "469-626-3215",
            "fax_number": "469-626-3117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "DENISE",
        "middle_name": "A.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-11-30",
        "last_updated": "2019-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "J9114",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "138894401",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "138894403",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "138894411",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "138894402",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "138894407",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "138894410",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "138894412",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "138894413",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "138894408",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "138894404",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "138894405",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "138894406",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "8K0724",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Murphy, TX

Sources for this page

Verify at the official NPI Registry.