Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jason Daniel Johnson, PLLC

Organization Plastic and Reconstructive Surgery Physician · NPI 1720597065

Jason Daniel Johnson, PLLC is a Plastic and Reconstructive Surgery Physician in Peoria, Arizona. Licensed in Arizona. Registered with an NPI since 2017.

Licensed in
AZ
In the registry since
2017
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

15396 N 83rd Ave Ste B100
Peoria, AZ 85381-5626
Phone: (602) 610-2999
Fax: (623) 321-7821
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Plastic and Reconstructive Surgery Physician (primary) Taxonomy 2086S0122X · Licence 006929 (AZ)

Record details

NPI number1720597065
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jason Johnson — Owner · (602) 610-2999
Other names Phx Plastic Surgery
NPI enumeratedSeptember 28, 2017
Last updated in NPPESApril 6, 2020
Certification dateApril 6, 2020
Mailing address15396 N 83rd Ave Ste B100, Peoria, AZ 85381-5626