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DOMINIQUE JOHNSON
NPI 1235646902
Assisted Living Facility in Dallas, TX

Active since January 04, 2018
6005 PARK MANOR DR, DALLAS, TX 75241(972) 277-7517 Get Directions Write a Review

NPPES record last updated: March 6, 2023. Verified against the NPPES registry weekly; last sync: September 13, 2026.

About Dominique Johnson NPPES

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

DOMINIQUE JOHNSON (NPI 1235646902) is an individual assisted living facility provider in Dallas, Texas and active in the NPI registry since January 2018.

NPPES Registry Identity

NPI1235646902
Entity TypeIndividualFemale
Primary Taxonomy310400000X
Provider Legal NameDOMINIQUE JOHNSON
Location Address6005 PARK MANOR DRDallas, TX 75241-5241
Mailing Address3655 Simpson Stuart Rd Unit 411123Dallas, TX 75241-4377 · (318) 605-1784
Phone(972) 277-7517
Sole ProprietorYes
Enumeration DateJanuary 4, 2018
Last NPPES UpdateMarch 6, 2023
NPPES CertifiedMarch 6, 2023
✔ NPI 1235646902 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
Definition
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
6005 PARK MANOR DR, Dallas, TX 75241
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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 Dominique Johnson's NPI number?

The NPI number for Dominique Johnson is 1235646902. It was assigned to this individual provider in the NPPES registry on January 4, 2018.

Where is Dominique Johnson located?

Dominique Johnson practices at 6005 Park Manor Dr, Dallas, TX 75241. The listed phone number is (972) 277-7517.

What is Dominique Johnson's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

When was this NPI record last updated?

The NPPES record for Dominique Johnson was last updated on March 6, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.