Johnson Pediatrics, P.C.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

R9G45 Issued in MO

Legal business name

JOHNSON PEDIATRICS, P.C.

Practice address

6973 Olive Blvd
University City, MO 63130-2540

Phone

(314) 862-7515

Fax

(314) 862-9214

NPI assigned

Dec 11, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Denise Roberts Johnson, M.D.NPI 1285793356

Title

President

Phone

(314) 862-7515

Specialties & licenses 1

Addresses

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/6053/brand/1/csg/1/fhir/r4

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Denise Roberts Johnson, M.D.

  • Pediatrics Physician
  • University City, MO
  • NPI 1285793356
  NPD (past) Authorized official

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1790845436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6973 OLIVE BLVD.",
            "city": "UNIVERSITY CITY",
            "state": "MO",
            "postal_code": "63130",
            "telephone_number": "314-862-7515",
            "fax_number": "314-862-9214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6973 OLIVE BLVD",
            "city": "UNIVERSITY CITY",
            "state": "MO",
            "postal_code": "631302540",
            "telephone_number": "314-862-7515",
            "fax_number": "314-862-9214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHNSON PEDIATRICS, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "DENISE",
        "authorized_official_middle_name": "ROBERTS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "314-862-7515",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "MO",
            "license": "R9G45",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Amanda Jo Kirk, LCSW

• Pediatrics Physician in University City, MO
• Providers in University City, MO by specialty
• Pediatrics Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.