Shannon G. Parsons of North Carolina P.a

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

Legal business name

SHANNON G. PARSONS OF NORTH CAROLINA P.A

Practice address

7751 Ballantyne Commons Pkwy Ste 101
Charlotte, NC 28277-2442

Phone

(704) 544-7033

NPI assigned

Feb 11, 2025

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 2

Addresses

Other names 1

• Carolina Periodontics 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

  • Dentist
  • Mooresville, NC
  • NPI 1881542629
  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.

• Shannon G Parsons, DMD

  • Oral and Maxillofacial Surgery (Dentist)
  • Charlotte, NC
  • NPI 1447339700
  NPD (past)

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

{
    "created_epoch": "1739232000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739232000000",
    "number": "1942015433",
    "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": "7751 BALLANTYNE COMMONS PKWY STE 101",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282772442",
            "telephone_number": "704-544-7033"
        }
    ],
    "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": "2025-02-11",
        "last_updated": "2025-02-11",
        "certification_date": "2025-02-11",
        "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": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Periodontics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Carolina Periodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jody M. Shanker, LCSW
• Lillian Naomi Shankman
• Amanda Jernigan Shanks, LPC
• David E. Shanks
• Danielle M. Shanley
• Shannon Hyde, NP
• Shannon Kersey, Lpa
• Jackson Lane Shannon, PHARM. D.
• Kimberly Shannon, RD
• Molly S Shannon, OTR/L

• Periodontics in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Periodontics in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2025; 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.