Clinton M Johnson DDS, Lawrence J. Shine Jr. DDS PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

CLINTON M JOHNSON DDS, LAWRENCE J. SHINE JR. DDS PC

Practice address

1734 E 63Rd St
Suite 520
Kansas City, MO 64110

Phone

(816) 523-9787

Fax

(816) 444-1175

NPI assigned

Nov 28, 2006

Last updated

Jan 9, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Clinton M Johnson, D.D.S.

Title

Doctor

Phone

(816) 523-7788

Specialties & licenses 1

Addresses

Locations

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.

• Lawrence J Shine, PC DDS

  • General Practice Dentistry
  • Kansas City, MO
  • NPI 1811075179
  NPD (past)

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

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1389225600000",
    "number": "1790851889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1734 E 63RD ST",
            "address_2": "SUITE 520",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "64110",
            "telephone_number": "816-523-7788",
            "fax_number": "816-444-1175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1734 E 63RD ST",
            "address_2": "SUITE 520",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "64110",
            "telephone_number": "816-523-9787",
            "fax_number": "816-444-1175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINTON M JOHNSON DDS, LAWRENCE J. SHINE JR. DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-28",
        "last_updated": "2014-01-09",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "CLINTON",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "816-523-7788",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephen Scott Cliff, DO
• Clifford V Anderson DDS and Associates Inc
• Mary Elizabeth Clifford, ARNP
• Kristie Ann Clifft, OTR
• Paula V Cline-Williams, LCSW LSCSW LPN
• Clayton Cloud, MS, ATC, LAT
• Keith Clough, PHARMD
• Michelle Clough, CRNA
• Christine Margaret Clune, CPNP-PC
• Cmo Care of Mo II, LLC

• General Practice Dentistry in Kansas City, MO
• Providers in Kansas City, MO by specialty
• General Practice Dentistry in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2014; 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.