DR. S SHAUN JOHANSON DDS
NPI 1295866804
Dentist - General Practice in Mckinleyville, CA

Q: What is S Johanson's NPI number?

The NPI number for S Johanson is 1295866804. It was assigned to this individual provider in the NPPES registry on March 7, 2007.

Q: What is S Johanson's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for S Johanson was last updated on June 24, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since March 07, 2007

1661 PICKETT RD, MCKINLEYVILLE, CA 95519(707) 839-3227 Get Directions Write a Review

NPPES record last updated: June 24, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. S Shaun Johanson Dds NPPES

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

DR. S SHAUN JOHANSON DDS (NPI 1295866804) is an individual general practice provider in Mckinleyville, California, licensed in California (40838) and active in the NPI registry since March 2007.

NPPES Registry Identity

NPI1295866804

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameDR. S SHAUN JOHANSONCredential: DDS

Location Address1661 PICKETT RDMckinleyville, CA 95519-3914

Mailing AddressPo Box 2368Mckinleyville, CA 95519-2368 · (707) 839-3227

Phone(707) 839-3227

Sole ProprietorNo

Enumeration DateMarch 7, 2007

Last NPPES UpdateJune 24, 2020

NPPES CertifiedJune 24, 2020

✔ NPI 1295866804 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

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Other Identifiers 1

OtherB40838-01CA · Dentical

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.

S. SHAUN JOHANSON DDS, INC.

Dentist (General Practice)

1661 PICKETT RD
MCKINLEYVILLE, CA 95519

Humboldt County (707) 839-3227

DR. LAWRENCE GUNNAR JOHANSON D.D.S.

Dentist (General Practice)

1661 PICKETT RD
MCKINLEYVILLE, CA 95519

Humboldt County (707) 839-3227

LAWRENCE G JOHANSON DDS, INC.

Clinic/Center (Dental)

1661 PICKETT RD
MCKINLEYVILLE, CA 95519

Humboldt County (707) 839-3227

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 Johanson's NPI number?

The NPI number for S Johanson is 1295866804. It was assigned to this individual provider in the NPPES registry on March 7, 2007.

Where is S Johanson located?

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

What is S Johanson'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 Johanson was last updated on June 24, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.