Shon Johnson, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

2901600392 Issued in MI

Practice address

9115 Telegraph Rd
Taylor, MI 48180-2365

Phone

(313) 908-1788

NPI assigned

Feb 17, 2020

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Pro Dental Mi 1 PC

  • General Practice Dentistry
  • Taylor, MI
  • NPI 1780411058
  NPD
• D2 Dental of Michigan, P.C.

  • General Practice Dentistry
  • Taylor, MI
  • NPI 1588136667
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1581897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581897600000",
    "number": "1003449265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20079 FORESTWOOD ST",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480761740",
            "telephone_number": "248-660-3892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9115 TELEGRAPH RD",
            "city": "TAYLOR",
            "state": "MI",
            "postal_code": "481802365",
            "telephone_number": "313-908-1788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "SHON",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-02-17",
        "last_updated": "2020-02-17",
        "certification_date": "2020-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901600392",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "2901600392",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dawana Johnson
• Donna M Johnson, MSW
• Douglas Scott Johnson, ATC
• Jacob Daniel Johnson, DO
• Jimmie Lee Johnson Sr., COUNSELOR
• Angela Joiner
• Robin Jones, MS, LLP
• Joon Y. Choi M.D. P.C.
• Impris Joplin
• Joseph L Belcher DC PC

• Dentist in Taylor, MI
• Providers in Taylor, MI by specialty
• Dentist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.