DR. DENISE ROBERTS JOHNSON M.D. NPI 1285793356

NPI Information

NPI: 1285793356
Provider Name: DR. DENISE ROBERTS JOHNSON, M.D.
Classification: Pediatrics - 208000000X
Entity Type: Individual
Address:
6973 OLIVE BLVD
UNIVERSITY CITY, MO
ZIP 63130
Phone: (314) 862-7515
Get Directions

DR. Denise Roberts Johnson, M.D. is a pediatrics in University City, MO. The provider is 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. DR. Denise Roberts Johnson, M.D. NPI is 1285793356. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

6973 OLIVE BLVD
UNIVERSITY CITY, MO
ZIP 63130-540
Phone: (314) 862-7515
Fax: (314) 862-9214

The enumeration date for this NPI number is 12/6/2006 and was last updated on 12/12/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2080A0000X	Pediatrics	Adolescent Medicine	R9G45	MISSOURI	No
2	208000000X	Pediatrics		R9G45	MISSOURI	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	43-1890673	OTHER	MISSOURI	TAX ID NUMBER
2	202402210	MEDICAID	MISSOURI
3	A13941	MEDICARE UPIN	MISSOURI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »