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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.

DR. SHANNON POLLY JOHNSON DMD
NPI 1598975971
Dentist in Louisville, KY

Active since May 23, 2007PECOS Enrolled
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 (2 updates tracked since 2022).

About Dr. Shannon Polly Johnson Dmd NPPES

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

DR. SHANNON POLLY JOHNSON DMD (NPI 1598975971) is an individual dentist in Louisville, Kentucky, licensed in Kentucky (7939) and active in the NPI registry since May 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1598975971
Entity TypeIndividualFemale
Primary Taxonomy122300000X
Provider Legal NameDR. SHANNON POLLY JOHNSONCredential: DMD
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
Sole ProprietorNo
Enumeration DateMay 23, 2007
Last NPPES UpdateJuly 25, 20262 updates tracked since enumeration
NPPES CertifiedJuly 25, 2026
✔ NPI 1598975971 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
Licenses✔ Licensed in KY · 7939✔ Licensed in IN · 12013325A✔ Licensed in FL · DN 17245
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.
9513 WHIPPS MILL RD, Louisville, KY 40242
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Shannon Polly Johnson Dmd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40242 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$66.24 typical visit price
range $16.53 – $131.99
Typical copayment $16.56 (range $4.13 – $32.99)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

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

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 Johnson's NPI number?

The NPI number for Shannon Johnson is 1598975971. It was assigned to this individual provider in the NPPES registry on May 23, 2007.

Where is Shannon Johnson located?

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

What is Shannon Johnson's specialty?

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

Is Shannon Johnson enrolled in Medicare?

Yes. Shannon Johnson is registered in the Medicare PECOS enrollment system.

What insurance does Shannon Johnson accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Renaissance Dental list Shannon Johnson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Shannon Johnson 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.