Active NPI
Dallas Johnson, MD
- Obstetrics & Gynecology Physician
- Stafford, TX
National Provider Identifier
1942390430
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- H4441
- Practice address
- 12614 Southwest Fwy
Stafford, TX 77477-3839 - Phone
- (713) 514-1100
- Fax
- (404) 494-7435
- NPI assigned
- Oct 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | E-4925 | AR | |
| Obstetrics & Gynecology Physician | 207V00000X | H4441 | TX | Primary |
Addresses
Primary practice location
12614 Southwest Fwy
Stafford, TX 77477-3839
Mailing address
4600 Gulf Fwy
Houston, TX 77023
Phone (713) 522-6240
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 163442001 | Medicaid | AR |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medical Faculty Associates, Inc | Obstetrics & Gynecology | Past | Accepting new patients |
| Continence Care Group | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Family Nurse Practitioner
- Pflugerville, TX
- NPI 1033384581
-
- Anesthesiology Physician
- Washington, DC
- NPI 1417990581
Obstetrics & Gynecology
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160697600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1574640000000",
"number": "1942390430",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4600 GULF FWY",
"city": "HOUSTON",
"state": "TX",
"postal_code": "77023",
"telephone_number": "713-522-6240"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12614 SOUTHWEST FWY",
"city": "STAFFORD",
"state": "TX",
"postal_code": "774773839",
"telephone_number": "713-514-1100",
"fax_number": "404-494-7435"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "DALLAS",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-13",
"last_updated": "2019-11-25",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "AR",
"license": "E-4925",
"primary": false
},
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "TX",
"license": "H4441",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "163442001",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Stafford, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.