Doctor profile · Federal record
Dr. Jacob Johnson, D.D.S.
Pediatric Dentist · Pediatric Dentist · Fort Worth, TX
- NPI 1093964900
- 18 yrs on file
- Licensed in 2 states
- Male
- Group practice
- No sanctions
Practice & contact
Operates at 2 locations .
- Primary practice
-
3050 Sycamore School RD
Fort Worth, TX 76133
(817) 370-0021 - Additional location
-
1303 S Longmore, Suite 101
Mesa, AZ 852029607
(480) 582-0972 - Mailing address
-
2101 Bradley Dr
Keller, TX 762486868
Credentials & registration
- NPI registered
- September 2008 — 18 yrs on file
- Profile last updated
- July 20, 2019
- Specialty taxonomy
- 1223P0221X — NUCC code
- State licenses (2)
- Texas #34630 · Arizona #D7748
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1093964900. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$75
Transactions
1
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Stryker Corporation | 1 | $75.02 |
By nature of payment
Frequently asked questions
What is Dr. Jacob Johnson's medical specialty?
Dr. Jacob Johnson practices Pediatric Dentist in Fort Worth, TX.
Where does Dr. Jacob Johnson practice?
Dr. Jacob Johnson practices at 3050 Sycamore School RD, Fort Worth, TX 76133. Office phone: 8173700021.
What is Dr. Jacob Johnson's NPI?
Dr. Jacob Johnson's National Provider Identifier (NPI) is 1093964900, issued by NPPES.