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KRISTIN D SHANNON
NPI 1487497533
Dentist - General Practice in Jacksonville, FL

Active since June 17, 2024
11518 SAN JOSE BLVD, JACKSONVILLE, FL 32223(904) 268-5600 Get Directions Write a Review

NPPES record last updated: June 29, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Kristin D Shannon NPPES

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

KRISTIN D SHANNON (NPI 1487497533) is an individual general practice provider in Jacksonville, Florida, licensed in Florida (DN32111) and active in the NPI registry since June 2024.

NPPES Registry Identity

NPI1487497533
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameKRISTIN D SHANNON
Location Address11518 SAN JOSE BLVDJacksonville, FL 32223-7237
Mailing Address1 Kneeland StBoston, MA 02111-1527
Phone(904) 268-5600
Sole ProprietorNo
Enumeration DateJune 17, 2024
Last NPPES UpdateJune 29, 2026
NPPES CertifiedJune 29, 2026
✔ NPI 1487497533 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in FL · DN32111
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.
11518 SAN JOSE BLVD, Jacksonville, FL 32223
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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.

MEGAN MOSHEA D.D.S. LLC
Clinic/Center (Dental)
11518 SAN JOSE BLVD
JACKSONVILLE, FL 32223
Duval County (904) 268-5600
DR. JEFFREY S. BILOTTI D.D.S.
Dentist (General Practice)
11518 SAN JOSE BLVD
JACKSONVILLE, FL 32223
Duval County (904) 268-5600

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 Kristin Shannon's NPI number?

The NPI number for Kristin Shannon is 1487497533. It was assigned to this individual provider in the NPPES registry on June 17, 2024.

Where is Kristin Shannon located?

Kristin Shannon practices at 11518 San Jose Blvd, Jacksonville, FL 32223. The listed phone number is (904) 268-5600.

What is Kristin Shannon'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 Kristin Shannon was last updated on June 29, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.