SHON JOHNSON DDS NPI 1003449265

Dentist in Taylor, MI

Individual Male Dentist PECOS Enrolled

About SHON JOHNSON

Shon Johnson is a provider established in Taylor, Michigan and his medical specialization is dentist. The NPI number of Shon Johnson is 1003449265 and was assigned on February 2020. The practitioner's primary taxonomy code is 122300000X with license number 2901600392 (MI). The provider is registered as an individual and his NPI record was last updated February 2020. Shon Johnson is enrolled in PECOS.

NPI

1003449265

Provider Name SHON JOHNSON DDS
Provider Location Address9115 TELEGRAPH RD TAYLOR, MI 48180
Provider Mailing Address20079 FORESTWOOD ST SOUTHFIELD, MI 48076
GenderMale
NPI Entity TypeIndividual
Is Sole Proprietor?No
Is Organization Subpart?N/A
Enumeration Date02-17-2020
Last Update Date02-17-2020

Primary Taxonomy

Taxonomy Code122300000X
ClassificationDentist
TypeDental Providers
License No.2901600392
License StateMI
Taxonomy DescriptionA dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Business Address

SHON JOHNSON DDS
9115 TELEGRAPH RD
TAYLOR, MI
ZIP 48180
Phone: (313) 908-1788

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Mailing Address

SHON JOHNSON DDS
20079 FORESTWOOD ST
SOUTHFIELD, MI
ZIP 48076
Phone: (248) 660-3892

Secondary Taxonomies


The secondary taxonomy codes define the provider type, classification, and specialization. For individual NPIs the license data is associated to each taxonomy code.

No. Taxonomy Code Type Classification Specialization License No. State Primary
11223G0001XDental ProvidersDentistGeneral Practice2901600392MINo

Taxonomy Description: a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Other Providers at the same location


The following 3 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1366002289 SAILESH RAMALINGAM DDS
Individual
Dentist (General Practice)9115 TELEGRAPH RD
TAYLOR, MI 48180
(313) 918-1788
1588136667D2 DENTAL OF MICHIGAN, P.C.
Organization
Dentist (General Practice)9115 TELEGRAPH RD
TAYLOR, MI 48180
(313) 908-1788
1609420850DR. ISHAAN PATEL DDS
Individual
Dentist9115 TELEGRAPH RD
TAYLOR, MI 48180
(313) 908-1788

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.