Active NPI
Johnny Justin Dean, RD, LDN
- Registered Dietitian
- Irving, TX
National Provider Identifier
1326866922
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- DT86180
- Practice address
- 732 Olde Towne Dr
Irving, TX 75061-9118 - Phone
- (623) 251-9868
- NPI assigned
- Oct 1, 2024
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | DT86180 | TX | Primary |
Addresses
Primary practice location
732 Olde Towne Dr
Irving, TX 75061-9118
Mailing address
732 Olde Towne Dr
Irving, TX 75061-9118
Phone (623) 251-9868
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DT86180 | TX | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1727740800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1727740800000",
"number": "1326866922",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "732 OLDE TOWNE DR",
"city": "IRVING",
"state": "TX",
"postal_code": "750619118",
"telephone_number": "623-251-9868"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "732 OLDE TOWNE DR",
"city": "IRVING",
"state": "TX",
"postal_code": "750619118",
"telephone_number": "623-251-9868"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEAN",
"first_name": "JOHNNY",
"middle_name": "JUSTIN",
"credential": "RD, LDN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-10-01",
"last_updated": "2024-10-01",
"certification_date": "2024-10-01",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "TX",
"license": "DT86180",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Irving, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.