DR. S SHAUN JOHANSON (NPI# 1295866804) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295866804 |
| Entity Type | Individual |
| Full Name | DR. S SHAUN JOHANSON |
| Credential | DDS |
| Practice Address |
1661 Pickett Rd Mckinleyville CA 95519-3914 |
| Mailing Address |
Po Box 2368 Mckinleyville CA 95519-2368 |
| Practice Telephone | 7078393227 |
| Mailing Telephone | 7078393227 |
| Enumeration Date | 2007-03-07 |
| Last Update Date | 2020-06-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
40838 | CA | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | DENTICAL | B40838-01 | 01 |
| Street Address |
1661 PICKETT RD |
| City | MCKINLEYVILLE |
| State | CA |
| Zip Code | 95519-3914 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467505271 | Lawrence Gunnar Johanson | Dentist | 1661 Pickett Rd, Mckinleyville, CA 95519-3914 | 2007-01-18 |
| 1598931974 | Lawrence G Johanson Dds, Inc. | Clinic/Center | 1661 Pickett Rd, Mckinleyville, CA 95519-3914 | 2008-05-05 |
| 1003947623 | S. Shaun Johanson Dds, Inc. | Dentist | 1661 Pickett Rd, Mckinleyville, CA 95519-3914 | 2007-03-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477174555 | Humboldt County Behavioral Health | Community/Behavioral Health | 1615 Heartwood Drive, Mckinleyville, CA 95519 | 2020-04-30 |
| 1417518291 | Erika Adams | Dental Hygienist | 2050 Silkwood St, Mckinleyville, CA 95519 | 2019-06-24 |
| 1275808354 | Laurie Goldberg Sanders | Behavioral Analyst | 1116 Hayes Rd, Mckinleyville, CA 95519 | 2012-03-21 |
| 1295956381 | Ralph Leroy Davis | Dentist | 1661 Picket Ave, Mckinleyville, CA 95519 | 2007-05-02 |
| 1598858169 | Open Door Community Health Centers | Clinic/Center | 1644 Central Avenue, Suite F, Mckinleyville, CA 95519 | 2006-10-02 |
| 1508887001 | Cindy Siemens | Counselor | 1660 Central Av, Ste I, Mckinleyville, CA 95519 | 2006-07-21 |
| 1134630148 | Yvonne Lynn Guido | Counselor | 1560 Betty Ct Ste A, Mckinleyville, CA 95519 | 2017-10-17 |
| 1043307853 | Nathan Ransom Copple | Family Medicine | 1644 Central Avenue, Suite F, Mckinleyville, CA 95519 | 2006-10-05 |
| 1083700710 | Reilley Mullin | Nurse Practitioner | 1644 Central Avenue, Suite F, Mckinleyville, CA 95519 | 2006-10-04 |
| 1457444192 | Glorie Lorrie Williamson | Registered Nurse | 1644 Central Avenue, Suite F, Mckinleyville, CA 95519 | 2006-10-02 |
| Find all providers in zip 95519 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295956381 | Ralph Leroy Davis | Dentist | 1661 Picket Ave, Mckinleyville, CA 95519 | 2007-05-02 |
| 1467505271 | Lawrence Gunnar Johanson | Dentist | 1661 Pickett Rd, Mckinleyville, CA 95519-3914 | 2007-01-18 |
| 1134193055 | Fredrick Anthony Johnson II | Dentist | 1955 Central Ave, Mckinleyville, CA 95519-3605 | 2006-02-15 |
| 1710964762 | Allen R Ehlers | Dentist | 1585 Heartwood Dr, Suite B, Mckinleyville, CA 95519-3991 | 2005-12-29 |
| 1003947623 | S. Shaun Johanson Dds, Inc. | Dentist | 1661 Pickett Rd, Mckinleyville, CA 95519-3914 | 2007-03-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255932141 | Jason T Garland | Dentist | 7892 Sitio Mirto, Carlsbad, CA 92009-6999 | 2020-11-05 |
| 1386245462 | Miller Skinner and Dastrup Dental Corporation of Madera | Dentist | 118 N A St, Madera, CA 93638-3210 | 2020-11-04 |
| 1912508177 | Adrian Acosta Dds A Professional Dental Corp | Dentist | 951 W. Whittier Blvd, La Habra, CA 90631-3743 | 2020-11-04 |
| 1871194175 | Lawrence G. Low Dds & Kenneth Y.k. Li Dds | Dentist | 229 Cajon St Ste 3, Redlands, CA 92373-5284 | 2020-11-03 |
| 1881295384 | Jimmy Nguyen Dds Inc | Dentist | 13089 Peyton Dr. Ste. B, Chino Hills, CA 91709 | 2020-11-03 |
| 1083214282 | Sara Davidson, Dds, PC | Dentist | 176 Terra Vista Ave, San Francisco, CA 94115-3824 | 2020-10-27 |
| 1871192484 | David Moody Dental Corporation | Dentist | 19737 W Valley Blvd, Tehachapi, CA 93561-8601 | 2020-10-23 |
| 1407455181 | Julia Nguyen | Dentist | 9225 Mira Mesa Blvd Ste 218, San Diego, CA 92126-4811 | 2020-10-22 |
| 1104425248 | Aditi Mehndiratta | Dentist | 17585 Vierra Canyon Rd, Prunedale, CA 93907-3312 | 2020-10-20 |
| 1346849452 | Lauren Gabrielle Alfonso Santos | Dentist | 4005 Manzanita Ave Ste 50, Carmichael, CA 95608-1784 | 2020-10-20 |
| Find all providers with the same taxonomy | ||||
| City | MCKINLEYVILLE |
| Zip Code | 95519 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.