NPI age
20 years
Enumerated 2005-06-23
● Active
Type 1 · Individual
Kelly A. Johnson, MD
Johnson is 1 of 437 pediatrics providers in Dallas and 1 of 7055 in Texas.
Primary specialty
Pediatrics
Licensed in
TX
1 state
Status
Active
No deactivations on record
Last NPPES update
2016-03-22
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 7055 active pediatrics providers in Texas.
NPI age
20 years
↑ 2 yr above median (18 yr)
State licenses
1 state
8% of peers hold multiple states
Subspecialties
0
23% of peers hold subspecialties
NPI lifetime · 2005 → 2026
2005-06Enumerated in NPPES
2005
2026
Where they practice
Practice location
6403 Malcolm Dr
Dallas, TX 752143104
Mailing address
6403 Malcolm Dr
Dallas, TX 752143104
Specialties
-
Pediatrics PrimaryA 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...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (OH) | 2461803 |
Practice context
Solo or small practice. No other active providers share this practice address in NPPES.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
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