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CLINTON M JOHNSON DDS, LAWRENCE J. SHINE JR. DDS PC
NPI 1790851889
Dentist - General Practice in Kansas City, MO

Active since November 28, 2006
1734 E 63RD ST, SUITE 520, KANSAS CITY, MO 64110(816) 523-9787(816) 444-1175 Get Directions Write a Review

NPPES record last updated: January 9, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Clinton M Johnson Dds, Lawrence J. Shine Jr. Dds Pc NPPES

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

CLINTON M JOHNSON DDS, LAWRENCE J. SHINE JR. DDS PC (NPI 1790851889) is a healthcare organization registered as a general practice in Kansas City, Missouri and active in the NPI registry since November 2006. The organization lists Clinton M Johnson, Doctor, as its authorized official.

NPPES Registry Identity

NPI1790851889
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameCLINTON M JOHNSON DDS, LAWRENCE J. SHINE JR. DDS PC
Location Address1734 E 63RD ST, SUITE 520Kansas City, MO 64110
Mailing Address1734 E 63rd St, Suite 520Kansas City, MO 64110 · (816) 523-7788 · Fax (816) 444-1175
Phone(816) 523-9787
Fax(816) 444-1175
Organization SubpartNo
Authorized OfficialClinton M JohnsonDoctor · (816) 523-7788
Enumeration DateNovember 28, 2006
Last NPPES UpdateJanuary 9, 2014
✔ NPI 1790851889 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
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.
1734 E 63RD ST, Kansas City, MO 64110
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

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

A LIFES JOURNEY, LLC
Social Worker (Clinical)
1734 E 63RD ST, SUITE 504
KANSAS CITY, MO 64110
Jackson County (816) 265-1559
REFLECTION OF REALITY
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
1734 E 63RD ST, SUITE # 312
KANSAS CITY, MO 64110
Jackson County (816) 255-5583
OSALEN GROUP INC.
Home Health Aide
1734 E 63RD ST, SUITE 205
KANSAS CITY, MO 64110
Jackson County (816) 444-3432
LOUIS C MANUEL, M.D. EYE SERVICES, INC.
Clinic/Center
1734 E 63RD ST, STE 501
KANSAS CITY, MO 64110
Jackson County (816) 363-4700
A SWEET RELIEF IN-HOME HEALTH CARE SERVICES LLC
In Home Supportive Care
1734 E 63RD ST, STE. 214
KANSAS CITY, MO 64110
Jackson County (816) 822-9000
BARE ESSENTIALS HOME CARE INC.
Durable Medical Equipment & Medical Supplies
1734 E 63RD ST, SUITE 414
KANSAS CITY, MO 64110
Jackson County (816) 333-4500
DR. HERMAN WATSON M.D.
Specialist
1734 E 63RD ST, SUITE 460
KANSAS CITY, MO 64110
Jackson County (816) 523-1177
CHARLES KEITH LEE MD
Thoracic Surgery (Cardiothoracic Vascular Surgery)
1734 E 63RD ST, STE 206A
KANSAS CITY, MO 64110
Jackson County (816) 361-9508

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 Clinton M Johnson Dds, Lawrence J. Shine Jr. Dds PC's NPI number?

The NPI number for Clinton M Johnson Dds, Lawrence J. Shine Jr. Dds PC is 1790851889. It was assigned to this organization in the NPPES registry on November 28, 2006.

Where is Clinton M Johnson Dds, Lawrence J. Shine Jr. Dds PC located?

Clinton M Johnson Dds, Lawrence J. Shine Jr. Dds PC is located at 1734 E 63rd St Suite 520, Kansas City, MO 64110. The listed phone number is (816) 523-9787.

What is Clinton M Johnson Dds, Lawrence J. Shine Jr. Dds PC'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 Clinton M Johnson Dds, Lawrence J. Shine Jr. Dds PC was last updated on January 9, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.