Shundericka Jones

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN122266 Issued in GA

Practice address

4718 Ashford Dunwoody Rd Ste 400
Dunwoody, GA 30338-5577

Phone

(770) 625-1968

NPI assigned

Feb 21, 2020

Sex

Female

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1582243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707782400000",
    "number": "1316570906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6680 POLE CREEK DR",
            "city": "LITHONIA",
            "state": "GA",
            "postal_code": "300586485",
            "telephone_number": "678-488-3062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4718 ASHFORD DUNWOODY RD STE 400",
            "city": "DUNWOODY",
            "state": "GA",
            "postal_code": "303385577",
            "telephone_number": "770-625-1968"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "SHUNDERICKA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-21",
        "last_updated": "2024-02-13",
        "certification_date": "2024-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "STUDENT",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "DN122266",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hannah Marie Johnson, LAT, ATC
• Kaala Cherie Johnson, CNA
• Shantavia Johnson
• Barbara J Jones Evans, LMT
• Janelle Lynn Jones, PHD
• Samantha Nichols Jordan, MS, CCC-SLP
• Virginia Hamel Joslin, PA-C
• Kadan Corporation
• Sejoong Kang, MD
• Zinka Kapetanovic, PT, DPT

• General Practice Dentistry in Dunwoody, GA
• Providers in Dunwoody, GA by specialty
• General Practice Dentistry in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 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.