Shelley Johannesson, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

12802 Issued in NC

Practice address

2595 Chimney Rock Rd
Hendersonville, NC 28792-9181

Phone

(828) 692-4289

NPI assigned

May 17, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Blue Ridge Community Health Services, Inc.

  • Federally Qualified Health Center (FQHC)
  • Hendersonville, NC
  • NPI 1457332421

  Dentist

  NPD (past)

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

{
    "created_epoch": "1652745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655337600000",
    "number": "1831836386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "177 HOUSTON CIR",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288015500",
            "telephone_number": "941-586-1533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2595 CHIMNEY ROCK RD",
            "city": "HENDERSONVILLE",
            "state": "NC",
            "postal_code": "287929181",
            "telephone_number": "828-692-4289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHANNESSON",
        "first_name": "SHELLEY",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-17",
        "last_updated": "2022-06-16",
        "certification_date": "2022-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NC",
            "license": "12802",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jiamachello and Associates, PLLC
• Alexander Philip Jiamachello, DDS
• Edgar John Jimenez, M.D.
• Jody Lynn Jinkerson
• Joe H. Farrar, DMD PA
• John S. Strickland, DDS, PLLC
• John Selph, DMD, PLLC
• Amanda McGuire Johnson, ANP
• Amy L Johnson, LCSW, LCAS
• Andrea Johnson, PHARMD

• Dentist in Hendersonville, NC
• Providers in Hendersonville, NC by specialty
• Dentist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 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.