NPIMap

Organization Active NPI

Johnson-Shone Dentistry LLC

Doing business as Magnolia Dental

  • Dental Clinic/Center
  • Whiteland, IN
National Provider Identifier
1467977090
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
JOHNSON-SHONE DENTISTRY LLC
Doing business as
Magnolia Dental
Practice address
989 N US 31
Whiteland, IN 46184-1379
Phone
(317) 535-3080
NPI assigned
Aug 4, 2017
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Dr. Carmen Elizabeth Johnson, DDS
Title
Owner
Phone
(765) 631-6934

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X NU Primary

Addresses

Primary practice location

989 N US 31
Whiteland, IN 46184-1379

Mailing address

989 N US 31
Whiteland, IN 46184-1379
Phone (317) 535-3080

Other names 1

  • Magnolia Dental Doing business as

National Provider Directory

National Provider Directory

Locations

989 N US Highway 31
Whiteland, IN 46184
Phone (317) 535-3080

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1501804800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1467977090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "989 N US 31",
            "city": "WHITELAND",
            "state": "IN",
            "postal_code": "461841379",
            "telephone_number": "317-535-3080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "989 N US 31",
            "city": "WHITELAND",
            "state": "IN",
            "postal_code": "461841379",
            "telephone_number": "317-535-3080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHNSON-SHONE DENTISTRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-04",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "CARMEN",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "765-631-6934",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Magnolia Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Whiteland, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.