NPI age
18 years
Enumerated 2007-12-14
● Active Type 2 · Organization
Subpart
South Plains Pediatric Dental Group
South Plains Pediatric Dental Group is 1 of 1797 dentist organizations in Texas.
Primary specialty
Dentist
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Johnson
Partner/owner
Last NPPES update
2007-12-14
Source: monthly bulk 2026-05
How this organization compares
Across 1797 active dentist providers in Texas.
NPI age
18 years
↑ 4 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2007 → 2026
2007-12Enumerated in NPPES
2007
2026
Where they practice
Primary practice location
5102 Salem Ave
Lubbock, TX 794144036
Mailing address
5102 Salem Ave
Lubbock, TX 794144036
Authorized official
John S Johnson, DDS
Partner/owner
📞 8067959503
Specialties
-
Dentist PrimaryAn 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.
Practice context
Single-site organization. Only one practice location on file.
Subpart of South Plains Pediatric Dental Group.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.