IndividualActive
Brock Johnsen, D.D.S.
NPI 1114068616 · Dentist · Shelby, MI
Brock Johnsen, D.D.S. is a Dentist provider in Shelby, MI (NPI 1114068616).
Provider details
- NPI number
- 1114068616
- Entity type
- Individual
- Primary specialty
- DentistDental Providers
- Credential
- D.D.S.
- Sex
- Male
- Sole proprietor
- No
- License
- 15042 (MI)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(90/100 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
4140 W Shelby Rd
Shelby, MI 49455-9660
Phone: (231) 861-4858
Street-level locationGet directions
Mailing address
4140 Shelby Rd
Shelby, MI 49455
Registry dates
- Enumerated
- 2007-02-09
- Last updated
- 2007-07-08
Frequently asked questions
- What is Brock Johnsen's NPI number?
- Brock Johnsen's National Provider Identifier (NPI) is 1114068616, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Brock Johnsen's specialty?
- Brock Johnsen is listed in the NPPES registry with a primary specialty of Dentist (Dental Providers).
- Where is Brock Johnsen located?
- Brock Johnsen's practice location on file with NPPES is 4140 W Shelby Rd, Shelby, MI 49455-9660.
- What is Brock Johnsen's phone number?
- The practice phone number listed in the NPPES registry for Brock Johnsen is (231) 861-4858.
- Is Brock Johnsen's NPI active?
- Yes — Brock Johnsen's NPI (1114068616) is active in the NPPES registry as of the last update on 2007-07-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.