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DR. JACOB ADAM JOHNSON D.D.S.
NPI 1093964900
Dentist - Pediatric Dentistry in Fort Worth, TX

Active since September 16, 2008
3050 SYCAMORE SCHOOL RD, FORT WORTH, TX 76133(817) 370-0021 Get Directions Write a Review

NPPES record last updated: July 20, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Jacob Adam Johnson D.d.s. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JACOB ADAM JOHNSON D.D.S. (NPI 1093964900) is an individual pediatric dentistry provider in Fort Worth, Texas, licensed in Texas (34630) and active in the NPI registry since September 2008. He maintains a secondary practice location in Mesa.

NPPES Registry Identity

NPI1093964900
Entity TypeIndividualMale
Primary Taxonomy1223P0221X
Provider Legal NameDR. JACOB ADAM JOHNSONCredential: D.D.S.
Location Address3050 SYCAMORE SCHOOL RDFort Worth, TX 76133
Mailing Address2101 Bradley DrKeller, TX 76248-6868 · (480) 207-9709
Phone(817) 370-0021
Sole ProprietorNo
Enumeration DateSeptember 16, 2008
Last NPPES UpdateJuly 20, 2019
✔ NPI 1093964900 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
Licenses✔ Licensed in TX · 34630✔ Licensed in AZ · D7748
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
3050 SYCAMORE SCHOOL RD, Fort Worth, TX 76133
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Secondary Practice Location 1

Location 11303 S Longmore, suite 101Mesa, AZ 85202-9607 · Phone (480) 582-0972

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and more.Insurance ›

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SYCAMORE SCHOOL PLLC
Dentist (Pediatric Dentistry)
3050 SYCAMORE SCHOOL RD
FORT WORTH, TX 76133
Tarrant County (817) 732-9341
HARRY M. STIMMEL LLC
Dentist (Pediatric Dentistry)
3050 SYCAMORE SCHOOL RD
FORT WORTH, TX 76133
Tarrant County (817) 370-0021
DR. HARRY MERIWETHER STIMMEL DMD
Dentist (Pediatric Dentistry)
3050 SYCAMORE SCHOOL RD
FORT WORTH, TX 76133
Tarrant County (817) 370-0021

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jacob Johnson's NPI number?

The NPI number for Jacob Johnson is 1093964900. It was assigned to this individual provider in the NPPES registry on September 16, 2008.

Where is Jacob Johnson located?

Jacob Johnson practices at 3050 Sycamore School Rd, Fort Worth, TX 76133. The listed phone number is (817) 370-0021.

What is Jacob Johnson's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

What insurance does Jacob Johnson accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas, Delta Dental PPO and Humana and 1 other insurer list Jacob Johnson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jacob Johnson was last updated on July 20, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.