Active NPI
Mark Anthony Johnston, M.D.
- Internal Medicine Physician
- Dallas, TX
National Provider Identifier
1679516116
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- H1380
- Practice address
- 7515 Greenville Ave
Suite 600
Dallas, TX 75231-3831 - Phone
- (214) 361-5432
- Fax
- (214) 363-8710
- NPI assigned
- Jun 13, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | H1380 | TX | Primary |
Addresses
Primary practice location
7515 Greenville Ave
Suite 600
Dallas, TX 75231-3831
Mailing address
7515 Greenville Ave
Suite 600
Dallas, TX 75231-3831
Phone (214) 361-5432
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 110132707 | Other | TX | RAILROAD MEDICARE |
| 102595903 | Medicaid | TX | |
| 102595901 | Medicaid | TX |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| H1380 | TX | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150156800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1372723200000",
"number": "1679516116",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7515 GREENVILLE AVE",
"address_2": "SUITE 600",
"city": "DALLAS",
"state": "TX",
"postal_code": "752313831",
"telephone_number": "214-361-5432",
"fax_number": "214-363-8710"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7515 GREENVILLE AVE",
"address_2": "SUITE 600",
"city": "DALLAS",
"state": "TX",
"postal_code": "752313831",
"telephone_number": "214-361-5432",
"fax_number": "214-363-8710"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSTON",
"first_name": "MARK",
"middle_name": "ANTHONY",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-13",
"last_updated": "2013-07-02",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "TX",
"license": "H1380",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "110132707",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "102595903",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "102595901",
"state": "TX"
}
],
"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 Jul 2, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.