P Praxis·MD
● Active Type 1 · Individual

Dominique Johnson

Assisted Living Facility·Dallas, TX· NPI 1235646902 · Enumerated 2018 · 8 years on NPI
Johnson is 1 of 112 assisted living facility providers in Dallas and 1 of 1892 in Texas.
NPI age
8 years
Enumerated 2018-01-04
Primary specialty
Assisted Living Facility
Licensed in
—
0 states
Status
Active
No deactivations on record
Last NPPES update
2023-03-06
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 1892 active assisted living facility providers in Texas.

NPI age
8 years
↓ 3 yr below median (11 yr)
State licenses
1 state
0% of peers hold multiple states
Subspecialties
0
16% of peers hold subspecialties

NPI lifetime · 2018 → 2026

2018-01Enumerated in NPPES
2018 2026

Where they practice

Practice location
6005 Park Manor Dr
Dallas, TX 752415241
📞 9722777517
Mailing address
3655 Simpson Stuart Rd Unit 411123
Dallas, TX 752414377
📞 3186051784

Specialties

  • Assisted Living Facility Primary
    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.
    taxonomy 310400000X

Practice context

Solo or small practice. No other active providers share this practice address in NPPES. This provider is listed as a sole proprietor.

Recently enumerated nearby: 1 new assisted living facility provider has been added in Dallas in the last 180 days. See all →
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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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