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ITIEN EMILY SHAW DDS, MD
NPI 1033409834
Dentist - Oral and Maxillofacial Surgery in Sacramento, CA

Active since April 13, 2011Opted out of Medicare · through Oct 2, 2026
4170 TRUXEL RD STE C, SACRAMENTO, CA 95834(844) 673-9131(916) 419-4582 Get Directions Write a Review

NPPES record last updated: May 16, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Itien Emily Shaw Dds, Md NPPES

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

ITIEN EMILY SHAW DDS, MD (NPI 1033409834) is an individual oral and maxillofacial surgery provider in Sacramento, California, licensed in California (DDS102837) and active in the NPI registry since April 2011. She has opted out of Medicare through October 2, 2026 and remains eligible to order and refer and maintains a secondary practice location in Yuba City.

NPPES Registry Identity

NPI1033409834
Entity TypeIndividualFemale
Primary Taxonomy1223S0112X
Provider Legal NameITIEN EMILY SHAWCredential: DDS, MD
Location Address4170 TRUXEL RD STE CSacramento, CA 95834-3758
Mailing Address4170 Truxel Rd Ste CSacramento, CA 95834-3758 · (844) 673-9131 · Fax (916) 419-4582
Phone(844) 673-9131
Fax(916) 419-4582
Sole ProprietorYes
Enumeration DateApril 13, 2011
Last NPPES UpdateMay 16, 2019
✔ NPI 1033409834 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License✔ Licensed in CA · DDS102837
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
4170 TRUXEL RD STE C, Sacramento, CA 95834
Open in Google Maps ↗

Secondary Practice Location 1

Location 11215 Plumas St Ste 300Yuba City, CA 95991-3453 · Phone (844) 673-9131 · Fax (530) 673-0162

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Combined Life, Humana, Renaissance Dental and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Itien Emily Shaw Dds, Md has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from October 2, 2018 through October 2, 2026.

Opt-Out Effective DateOctober 2, 2018
Opt-Out In Effect ThroughOctober 2, 2026Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95834 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
$92.61 typical visit price
range $60.44 – $180.85
Typical copayment $23.15 (range $15.11 – $45.21)
Most-billed visit code 99203
Established Patient
$75.03 typical visit price
range $19.88 – $148.15
Typical copayment $18.75 (range $4.97 – $37.03)
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.

JAGDEV SINGH HEIR,MD A PROFESSIONAL CORPORATION
Clinic/Center (Ambulatory Surgical)
4170 TRUXEL RD STE C
SACRAMENTO, CA 95834
Sacramento County (916) 419-4588
JAGDEV SINGH HEIR MD PROF CORP
Oral & Maxillofacial Surgery
4170 TRUXEL RD STE C
SACRAMENTO, CA 95834
Sacramento County (916) 419-4588

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 Itien Shaw's NPI number?

The NPI number for Itien Shaw is 1033409834. It was assigned to this individual provider in the NPPES registry on April 13, 2011.

Where is Itien Shaw located?

Itien Shaw practices at 4170 Truxel Rd Ste C, Sacramento, CA 95834. The listed phone number is (844) 673-9131.

What is Itien Shaw's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Is Itien Shaw enrolled in Medicare?

No. Itien Shaw has opted out of Medicare through October 2, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does Itien Shaw accept?

Health plans from Florida Combined Life, Humana, Renaissance Dental and UnitedHealthcare list Itien Shaw 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 Itien Shaw was last updated on May 16, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.