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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

SHANNON P JOHNSON DMD PLLC
NPI 1316579279
Dentist in Louisville, KY

Active since February 09, 2020
9513 WHIPPS MILL RD, LOUISVILLE, KY 40242(502) 805-0500(502) 771-6041 Get Directions Write a Review

NPPES record last updated: July 25, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 25, 2026, Feb 8, 2022, Feb 9, 2020 (3 updates tracked since 2020).

About Shannon P Johnson Dmd Pllc NPPES

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

SHANNON P JOHNSON DMD PLLC (NPI 1316579279) is a healthcare organization registered as a dentist in Louisville, Kentucky and active in the NPI registry since February 2020. The organization lists Shannon Polly Johnson, President, as its authorized official.

NPPES Registry Identity

NPI1316579279
Entity TypeOrganization
Primary Taxonomy122300000X
Legal Business NameSHANNON P JOHNSON DMD PLLC
Location Address9513 WHIPPS MILL RDLouisville, KY 40242-3640
Mailing Address9513 Whipps Mill RdLouisville, KY 40242-3640 · (502) 805-0500
Phone(502) 805-0500
Fax(502) 771-6041
Organization SubpartNo
Authorized OfficialShannon Polly JohnsonPresident · (502) 957-9390
Enumeration DateFebruary 9, 2020
Last NPPES UpdateJuly 25, 20263 updates tracked since enumeration
NPPES CertifiedJuly 25, 2026
✔ NPI 1316579279 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
Definition
A 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.
Also ListedClinic/Center · DentalTaxonomy 261QD0000X
9513 WHIPPS MILL RD, Louisville, KY 40242
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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 2

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

DR. MARK JOSEPH WEBER D.M.D.
Dentist (General Practice)
9513 WHIPPS MILL RD
LOUISVILLE, KY 40242
Jefferson County (502) 426-1481
DR. SHANNON POLLY JOHNSON DMD
Dentist
9513 WHIPPS MILL RD
LOUISVILLE, KY 40242
Jefferson County (502) 805-0500

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 Shannon P Johnson Dmd PLLC's NPI number?

The NPI number for Shannon P Johnson Dmd PLLC is 1316579279. It was assigned to this organization in the NPPES registry on February 9, 2020.

Where is Shannon P Johnson Dmd PLLC located?

Shannon P Johnson Dmd PLLC is located at 9513 Whipps Mill Rd, Louisville, KY 40242. The listed phone number is (502) 805-0500.

What is Shannon P Johnson Dmd PLLC's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

When was this NPI record last updated?

The NPPES record for Shannon P Johnson Dmd PLLC was last updated on July 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 days 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.