DR. JOHN LAWRENCE SHANNON DDS
NPI 1952421836
Dentist - General Practice in Jonesboro, AR

Active since April 02, 2007PECOS Enrolled
2704 E NETTLETON AVE, JONESBORO, AR 72401(870) 932-9886(870) 932-8037 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. John Lawrence Shannon Dds NPPES

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

DR. JOHN LAWRENCE SHANNON DDS (NPI 1952421836) is an individual general practice provider in Jonesboro, Arkansas, licensed in Arkansas (AR2426) and active in the NPI registry since April 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1952421836
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. JOHN LAWRENCE SHANNONCredential: DDS
Location Address2704 E NETTLETON AVEJonesboro, AR 72401-4529
Mailing Address2704 E Nettleton AveJonesboro, AR 72401-4529 · (870) 932-9886 · Fax (870) 932-8037
Fax(870) 932-8037
Sole ProprietorYes
Enumeration DateApril 2, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1952421836 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in AR · AR2426
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.
2704 E NETTLETON AVE, Jonesboro, AR 72401

Accepted 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. John Lawrence Shannon Dds 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 72401 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
$79.72 typical visit price
range $51.36 – $157.74
Typical copayment $19.93 (range $12.84 – $39.43)
Most-billed visit code 99203
Established Patient
$64.56 typical visit price
range $16.16 – $128.77
Typical copayment $16.14 (range $4.04 – $32.19)
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

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

Dentist
2704 E NETTLETON AVE
JONESBORO, AR 72401

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 John Shannon's NPI number?

The NPI number for John Shannon is 1952421836. It was assigned to this individual provider in the NPPES registry on April 2, 2007.

Where is John Shannon located?

John Shannon practices at 2704 E Nettleton Ave, Jonesboro, AR 72401. The listed phone number is (870) 932-9886.

What is John Shannon's specialty?

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

Is John Shannon enrolled in Medicare?

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

What insurance does John Shannon accept?

Health plans from Anthem Blue Cross and Blue Shield, Arkansas Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 3 other insurers list John Shannon 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 John Shannon was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.