Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1376568485 Individual Practitioner Male Practitioner

Dr. Raymond R Johnson , MD

Pediatrics • Dallas, TX

Professional Overview & Biography Verified Profile Summary

Dr. Raymond Johnson, MD is a registered healthcare professional specializing in Pediatrics in Dallas, TX. Practice services are available at 11661 PRESTON RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

11661 Preston Rd
Suite 120

Dallas, TX 752302745

Telephone 2143634031
Fax 2143637243
Associated Practice Facility / Clinic
🏢 Southwest Sports & Spine, Llp Facility NPI 1760479760

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Dallas, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 16.8 Yrs
State Avg: 22.0 Yrs
Regional Practice Density
398 Specialists

Practicing in Dallas, TX (5841 Statewide)

Telehealth Adoption Rate
1.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License TX J7019

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
126982103 (TX)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

20 Associated Practitioners
Kristen Walton , PT

Physical Therapist

NPI 1063409100

Physical Therapist

Ola Bayoumy

Pharmacist

NPI 1083433759
NPI 1134768443

Board Certified Behavior Analyst, Licensed Behavior Analyst

Natalee Noble

Dentist - General Practice

NPI 1245458447
NPI 1255465795

Registered Dental Hygienist

NPI 1306900691

OMD, LICACUPUNC

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active October 05, 2010

NPI status registered as active in NPPES database

📍
Updated Practice Location October 05, 2010

Registered at 11661 PRESTON RD, SUITE 120, DALLAS, TX 752302745 (Tel: 2143634031)

📍
Updated Business Mailing Address October 05, 2010

Registered at 11661 PRESTON RD, SUITE 120, DALLAS, TX 752302745 (Tel: 2143634031)

👤
Provider Name / Credentials Updated October 05, 2010

Recorded as RAYMOND JOHNSON, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 05, 2010

Pediatrics (License #J7019 in TX)

🟢
Initial NPI Registration & Enumeration July 12, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1376568485
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 12, 2006
Last Update: October 05, 2010
Sole Proprietor: No

Mailing Address

11661 Preston Rd, Suite 120

Dallas, TX 752302745

Phone: 2143634031

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.