OrganizationActive
Jason Daniel Johnson, PLLC
NPI 1720597065 · Plastic and Reconstructive Surgery Physician · Peoria, AZ
Provider details
- NPI number
- 1720597065
- Entity type
- Organization
- Primary specialty
- Plastic and Reconstructive Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Jason Johnson, Owner(602) 610-2999
- License
- 006929 (AZ)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(69/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
15396 N 83rd Ave Ste B100
Peoria, AZ 85381-5626
Phone: (602) 610-2999
Fax: (623) 321-7821
Street-level locationGet directions
Mailing address
15396 N 83rd Ave Ste B100
Peoria, AZ 85381-5626
Other names (DBA / former)
- Doing business as
- Phx Plastic Surgery
Registry dates
- Enumerated
- 2017-09-28
- Last updated
- 2020-04-06
- Certified
- 2020-04-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.