Individual provider Active NPI

Johanna Shubert Kalons, DDS

  • Dentist
  • Charlotte, NC
National Provider Identifier
1912958901
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
7175 Issued in NC
Practice address
201 S College St
Suite 1465
Charlotte, NC 28244-0002
Phone
(704) 378-6591
Fax
(704) 378-6594
NPI assigned
May 13, 2006
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 7175 NC Primary

Addresses

Primary practice location

201 S College St
Suite 1465
Charlotte, NC 28244-0002

Mailing address

201 S College St
Suite 1465
Charlotte, NC 28244-0002
Phone (704) 378-6591

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150722006512 NC Order and Referring Only - DentistPractitioner - Dentist 5698088490

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7175NCMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Kalons and Glidewell DDS PA Dentist Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1147478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1912958901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 S COLLEGE ST",
            "address_2": "SUITE 1465",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282440002",
            "telephone_number": "704-378-6591",
            "fax_number": "704-378-6594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 S COLLEGE ST",
            "address_2": "SUITE 1465",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282440002",
            "telephone_number": "704-378-6591",
            "fax_number": "704-378-6594"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KALONS",
        "first_name": "JOHANNA",
        "middle_name": "SHUBERT",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-13",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NC",
            "license": "7175",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

Verify at the official NPI Registry.