P Praxis·MD
● Active Type 1 · Individual

DR. Jacob Adam Johnson, D.D.S.

Dentist·Fort Worth, TX· NPI 1093964900 · Enumerated 2008 · 17 years on NPI
Johnson is 1 of 50 dentist providers in Fort Worth and 1 of 1797 in Texas.
NPI age
17 years
Enumerated 2008-09-16
Primary specialty
Dentist
Plus 1 subspecialty
Licensed in
TX, AZ
2 states
Status
Active
No deactivations on record
Last NPPES update
2019-07-20
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 1797 active dentist providers in Texas.

NPI age
17 years
↑ 3 yr above median (14 yr)
State licenses
2 states
Top 89% — 10% of peers are multi-state
Subspecialties
0
25% of peers hold subspecialties

NPI lifetime · 2008 → 2026

2008-09Enumerated in NPPES
2008 2026

Where they practice

Practice location
3050 Sycamore School Rd
Fort Worth, TX 76133
📞 8173700021
Mailing address
2101 Bradley Dr
Keller, TX 762486868
📞 4802079709

Additional practice locations

2 secondary locations on file with NPPES.

Location 2
1303 S Longmore, Suite 101
Mesa, AZ 852029607
📞 4805820972
Location 3
1303 S Longmore, Suite 101
Mesa, AZ 852029607
📞 4805820972

Specialties

  • Dentist Primary
    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.
    TX license #34630AZ license #D7748 taxonomy 1223P0221X

Practice context

Part of a multi-provider practice. 4 other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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