Dr Jacob Adam Johnson, DDS - Dentist in Fort Worth, TX

Dr Jacob Adam Johnson, DDS is a Dentist - Pediatric Dentistry based in Fort Worth, Texas. Dr Jacob Adam Johnson is licensed to practice in Texas (license number 34630) and his current practice location is 3050 Sycamore School Rd, Fort Worth, Texas. He can be reached at his office (for appointments etc.) via phone at (817) 370-0021.

NPI number for Dr Jacob Adam Johnson is 1093964900 and his current mailing address is 2101 Bradley Dr, Keller, Texas. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1093964900.

Contact Information

Dr Jacob Adam Johnson, DDS
3050 Sycamore School Rd,
Fort Worth, TX 76133
(817) 370-0021
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameDr Jacob Adam Johnson
GenderMale
SpecialityDentist - Pediatric Dentistry
Location3050 Sycamore School Rd, Fort Worth, Texas
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1093964900
  • Provider Enumeration Date: 09/16/2008
  • Last Update Date: 07/20/2019

Medical Identifiers

Medical identifiers for Dr Jacob Adam Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1093964900NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1223P0221XDentist - Pediatric Dentistry D7748 (Arizona)Secondary
1223P0221XDentist - Pediatric Dentistry 34630 (Texas)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Jacob Adam Johnson is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Jacob Adam Johnson, DDS
2101 Bradley Dr,
Keller, TX 76248-6868

Ph: (480) 207-9709
Dr Jacob Adam Johnson, DDS
3050 Sycamore School Rd,
Fort Worth, TX 76133

Ph: (817) 370-0021

Reviews and Comments


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Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

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