DR. DAVID O JOHNSON M.D.
NPI 1740204692
Pediatrics in Southlake, TX

Q: What is David Johnson's NPI number?

The NPI number for David Johnson is 1740204692. It was assigned to this individual provider in the NPPES registry on July 26, 2006.

Q: What is David Johnson's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for David Johnson was last updated on June 11, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since July 26, 2006PECOS Enrolled

731 E SOUTHLAKE BLVD, SUITE 100, SOUTHLAKE, TX 76092(817) 912-8800(817) 912-8810 Get Directions Write a Review

NPPES record last updated: June 11, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Dr. David O Johnson M.d. NPPES

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

DR. DAVID O JOHNSON M.D. (NPI 1740204692) is an individual pediatrics provider in Southlake, Texas, licensed in Texas (E4432) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1740204692

Entity TypeIndividualMale

Primary Taxonomy208000000X

Provider Legal NameDR. DAVID O JOHNSONCredential: M.D.

Location Address731 E SOUTHLAKE BLVD, SUITE 100Southlake, TX 76092-6377

Mailing Address731 E Southlake Blvd, Suite 100Southlake, TX 76092-6377 · (817) 912-8800 · Fax (817) 912-8810

Phone(817) 912-8800

Fax(817) 912-8810

Sole ProprietorNo

Enumeration DateJuly 26, 2006

Last NPPES UpdateJune 11, 2015

✔ NPI 1740204692 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in TX · E4432

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

731 E SOUTHLAKE BLVD, Southlake, TX 76092

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Other Identifiers 4

Other88X564TX · Bcbs

Medicare UPINE77011TX

Medicaid1378663-01TX

Medicare PIN88X564TX

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. David O Johnson M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76092 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$87.20 typical visit price

range $56.47 – $171.07

Typical copayment $21.80 (range $14.11 – $42.76)

Most-billed visit code 99203

Established Patient

$99.68 typical visit price

range $18.18 – $139.68

Typical copayment $24.92 (range $4.54 – $34.92)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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