{"npi":"1740204692","type":"NPI-1","status":"active","name":{"display":"Dr. David Johnson M.D.","other":[],"first":"DAVID","last":"JOHNSON","middle":"O","credential":"M.D."},"specialty":{"primary_taxonomy":"208000000X","primary_taxonomy_description":"Pediatrics","slug":"pediatrics","schema_org_specialty":"Pediatric","all":[{"code":"208000000X","description":"Pediatrics","primary":true,"state":"TX","license":"E4432"}]},"addresses":[{"purpose":"LOCATION","street_1":"731 E SOUTHLAKE BLVD","city":"SOUTHLAKE","state":"TX","postal_code":"760926377","country_code":"US","street_2":"SUITE 100","phone":"8179128800","fax":"8179128810"},{"purpose":"MAILING","street_1":"731 E SOUTHLAKE BLVD","city":"SOUTHLAKE","state":"TX","postal_code":"760926377","country_code":"US","street_2":"SUITE 100","phone":"8179128800","fax":"8179128810"}],"license":{"state":"TX","number":"E4432"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"1378663-01","state":"TX","issuer":null},{"type_code":"01","label":"Other","value":"88X564","state":"TX","issuer":"BCBS"}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20100512000102","type_code":"14-37","type_desc":"PRACTITIONER - PEDIATRIC MEDICINE","state":"TX","pac_id":"1355479486"}]},"enumeration_date":"2006-07-26","last_updated":"2015-06-11","_meta":{"source":"NPPES","snapshot_date":"2015-06-11","doc_url":"https://findmynpi.com/api"}}