OrganizationActive
S. Shaun Johanson DDS, Inc.
NPI 1003947623 · General Practice Dentistry · Mckinleyville, CA
Provider details
- NPI number
- 1003947623
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- S Johanson, Owner(707) 839-3227
- License
- 40838 (CA)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1661 Pickett Rd
Mckinleyville, CA 95519-3914
Phone: (707) 839-3227
Street-level locationGet directions
Mailing address
Po Box 2368
Mckinleyville, CA 95519-2368
Registry dates
- Enumerated
- 2007-03-07
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.