S. SHAUN JOHANSON DDS, INC.
NPI 1003947623
Dentist - General Practice in Mckinleyville, CA

Active since March 07, 2007
1661 PICKETT RD, MCKINLEYVILLE, CA 95519(707) 839-3227 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About S. Shaun Johanson Dds, Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

S. SHAUN JOHANSON DDS, INC. (NPI 1003947623) is a healthcare organization registered as a general practice in Mckinleyville, California and active in the NPI registry since March 2007. The organization lists S Shaun Johanson, Owner, as its authorized official.

NPPES Registry Identity

NPI1003947623
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameS. SHAUN JOHANSON DDS, INC.
Location Address1661 PICKETT RDMckinleyville, CA 95519-3914
Mailing AddressPo Box 2368Mckinleyville, CA 95519-2368 · (707) 839-3227
Organization SubpartNo
Authorized OfficialS Shaun JohansonOwner · (707) 839-3227
Enumeration DateMarch 7, 2007
Last NPPES UpdateAugust 22, 2020
NPI 1003947623 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in CA · 40838
Definition
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.
1661 PICKETT RD, Mckinleyville, CA 95519

Other Identifiers 1

OtherB40838-01CA · Dentical

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist (General Practice)
1661 PICKETT RD
MCKINLEYVILLE, CA 95519
Dentist (General Practice)
1661 PICKETT RD
MCKINLEYVILLE, CA 95519
Clinic/Center (Dental)
1661 PICKETT RD
MCKINLEYVILLE, CA 95519

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is S. Shaun Johanson Dds, Inc.'s NPI number?

The NPI number for S. Shaun Johanson Dds, Inc. is 1003947623. It was assigned to this organization in the NPPES registry on March 7, 2007.

Where is S. Shaun Johanson Dds, Inc. located?

S. Shaun Johanson Dds, Inc. is located at 1661 Pickett Rd, Mckinleyville, CA 95519. The listed phone number is (707) 839-3227.

What is S. Shaun Johanson Dds, Inc.'s specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for S. Shaun Johanson Dds, Inc. was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.