Shannon G. Parsons of North Carolina P.a

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

SHANNON G. PARSONS OF NORTH CAROLINA P.A

Doing business as

Fairview Family and Cosmetic Dentistry

Practice address

150 Fairview Rd Ste 135
Mooresville, NC 28117-9505

Phone

(704) 799-3247

NPI assigned

Mar 18, 2026

Organization subpart

Yes

Parent organization

SHANNON G. PARSONS OF NORTH CAROLINA P.AAs reported in NPPES

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

Authorized official

Name

Erika Melissa Menjivar

Title

Sr. Credentialing Specialist

Phone

(469) 596-6137

Specialties & licenses 1

Addresses

Other names 1

• Fairview Family and Cosmetic Dentistry Doing business as

Tax ID family

Shannon G Parsons of North Carolina PA2 organizations share this tax ID, including this one

Part of

Shannon G Parsons of North Carolina PA

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Shannon G. Parsons of North Carolina P.a

  dba Carolina Periodontics

  • Periodontics
  • Charlotte, NC
  • NPI 1942015433
  NPD tax ID

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.

• Jonathan Lane Putnam, DDS

  • General Practice Dentistry
  • Mooresville, NC
  • NPI 1861433096
  NPD (past)

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

{
    "created_epoch": "1773792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773792000000",
    "number": "1881542629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5830 GRANITE PKWY STE 780",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750246775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 FAIRVIEW RD STE 135",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281179505",
            "telephone_number": "704-799-3247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHANNON G. PARSONS OF NORTH CAROLINA P.A",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SHANNON G. PARSONS OF NORTH CAROLINA P.A",
        "enumeration_date": "2026-03-18",
        "last_updated": "2026-03-18",
        "certification_date": "2026-03-18",
        "status": "A",
        "authorized_official_last_name": "MENJIVAR",
        "authorized_official_first_name": "ERIKA",
        "authorized_official_middle_name": "MELISSA",
        "authorized_official_title_or_position": "SR. CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "469-596-6137"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fairview Family and Cosmetic Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Amanda Elizabeth Sellers, PMHNP-BC
• Grace Marie Selvaggi, CSW, CMSW, LCSWA
• David Martin Senigla
• Kellie Sexton
• Phyllis Ann Shanklin, LCSW
• Gillian Sharp, OTR/L
• Heather Anne Shaw, MS, CCC-SLP
• Daniel Shears, RPH
• Lauren Ellard Shelton, PHARMD
• Talia Michelle Shelton, LAT, ATC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2026; 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.