Shevanthi Johnson DDS PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

SHEVANTHI JOHNSON DDS PC

Practice address

11285 Mountain View Ave Ste H-32
Loma Linda, CA 92354-3811

Phone

(909) 796-6447

NPI assigned

Jul 25, 2024

Organization subpart

No

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

Authorized official

Name

Shevanthi JohnsonNPI 1942859590

Title

DDS

Phone

(619) 727-3444

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Shevanthi Rebekah Johnson, DDS

  • Dentist
  • La Mesa, CA
  • NPI 1942859590
  NPD Authorized official
• Luke H Iwata, D.D.S.

  • General Practice Dentistry
  • Loma Linda, CA
  • NPI 1578561106
  NPD (past)

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

{
    "created_epoch": "1721865600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721865600000",
    "number": "1265260731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11285 MOUNTAIN VIEW AVE STE H-32",
            "city": "LOMA LINDA",
            "state": "CA",
            "postal_code": "923543811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11285 MOUNTAIN VIEW AVE STE H-32",
            "city": "LOMA LINDA",
            "state": "CA",
            "postal_code": "923543811",
            "telephone_number": "909-796-6447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHEVANTHI JOHNSON DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-25",
        "last_updated": "2024-07-25",
        "certification_date": "2024-07-25",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "SHEVANTHI",
        "authorized_official_title_or_position": "DDS",
        "authorized_official_telephone_number": "619-727-3444"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Miriam Grisel Sherpa, DDS
• Thomas Sherwin, M.D.
• Ayesha Zahir Sherzai, M.D.
• Dean Sherzai, M.D.
• Rita Sheth, MD
• Patricia Shi, MD
• Edna Shia
• Isabel Shiang, PHARMD
• Maria Shibatsuji, DO
• Lauren Shields, MD

• General Practice Dentistry in Loma Linda, CA
• Providers in Loma Linda, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.