1. Home
  2. Directory
  3. Missouri
  4. University City
  5. Pediatrics
  6. NPI Profile

JOHNSON PEDIATRICS, P.C.
NPI 1790845436
Pediatrics in University City, MO

Active since December 11, 2006CLIA 26D0859405 · Microscopy
6973 OLIVE BLVD, UNIVERSITY CITY, MO 63130(314) 862-7515(314) 862-9214 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 22, 2020, Jun 21, 2018 (2 updates tracked since 2018).

About Johnson Pediatrics, P.c. NPPES

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

JOHNSON PEDIATRICS, P.C. (NPI 1790845436) is a healthcare organization registered as a pediatrics in University City, Missouri and active in the NPI registry since December 2006. The organization holds a CLIA Microscopy certificate valid through August 31, 2026 and lists Denise Roberts Johnson, President, as its authorized official.

NPPES Registry Identity

NPI1790845436
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameJOHNSON PEDIATRICS, P.C.
Location Address6973 OLIVE BLVDUniversity City, MO 63130-2540
Mailing Address6973 Olive Blvd.University City, MO 63130 · (314) 862-7515 · Fax (314) 862-9214
Phone(314) 862-7515
Fax(314) 862-9214
Organization SubpartNo
Authorized OfficialDenise Roberts JohnsonPresident · (314) 862-7515
Enumeration DateDecember 11, 2006
Last NPPES UpdateAugust 22, 20202 updates tracked since enumeration
✔ NPI 1790845436 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in MO · R9G45
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.
6973 OLIVE BLVD, University City, MO 63130
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 26D0859405

Johnson Pediatric Center · Saint Louis, MO
Active · expires Aug 31, 2026
CLIA Number26D0859405
Laboratory TypePhysician Office
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorDenise R. Johnson MD
Laboratory Phone(314) 862-7515
Laboratory LocationJohnson Pediatric Center6973 Olive Blvd, Saint Louis, MO 63130
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES

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

DR. DENISE ROBERTS JOHNSON M.D.
Pediatrics
6973 OLIVE BLVD
UNIVERSITY CITY, MO 63130
St. Louis County (314) 862-7515

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 Johnson Pediatrics, P.C.'s NPI number?

The NPI number for Johnson Pediatrics, P.C. is 1790845436. It was assigned to this organization in the NPPES registry on December 11, 2006.

Where is Johnson Pediatrics, P.C. located?

Johnson Pediatrics, P.C. is located at 6973 Olive Blvd, University City, MO 63130. The listed phone number is (314) 862-7515.

What is Johnson Pediatrics, P.C.'s specialty?

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

Does Johnson Pediatrics, P.C. hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 26D0859405) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Johnson Pediatrics, P.C. accept?

Health plans from Anthem Blue Cross and Blue Shield list Johnson Pediatrics, P.C. 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 Johnson Pediatrics, P.C. was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.