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DR. HARRY MARTIN SHIVELY DDS
NPI 1083762199
Dentist - General Practice in Aptos, CA

Active since January 08, 2007PECOS Enrolled
3233 VALENCIA AVE, SUITE B-3, APTOS, CA 95003(831) 662-2777(831) 688-2022 Get Directions Write a Review

NPPES record last updated: August 16, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Harry Martin Shively Dds NPPES

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

DR. HARRY MARTIN SHIVELY DDS (NPI 1083762199) is an individual general practice provider in Aptos, California, licensed in California (32396) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1083762199
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. HARRY MARTIN SHIVELYCredential: DDS
Location Address3233 VALENCIA AVE, SUITE B-3Aptos, CA 95003-4157
Mailing Address3233 Valencia Ave, Suite B-3Aptos, CA 95003-4157 · (831) 662-2777 · Fax (831) 688-2022
Phone(831) 662-2777
Fax(831) 688-2022
Sole ProprietorYes
Enumeration DateJanuary 8, 2007
Last NPPES UpdateAugust 16, 2021
NPPES CertifiedAugust 16, 2021
✔ NPI 1083762199 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in CA · 32396
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.
3233 VALENCIA AVE, Aptos, CA 95003
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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. Harry Martin Shively 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 95003 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
$96.03 typical visit price
range $62.97 – $186.69
Typical copayment $24.00 (range $15.74 – $46.67)
Most-billed visit code 99203
Established Patient
$77.84 typical visit price
range $21.02 – $153.16
Typical copayment $19.46 (range $5.25 – $38.29)
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.

STEPHEN PAULUS, DO & BONNIE GINTIS, DO, INC
General Practice
3233 VALENCIA AVE, SUITE B6
APTOS, CA 95003
Santa Cruz County (831) 688-4201

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 Harry Shively's NPI number?

The NPI number for Harry Shively is 1083762199. It was assigned to this individual provider in the NPPES registry on January 8, 2007.

Where is Harry Shively located?

Harry Shively practices at 3233 Valencia Ave Suite B-3, Aptos, CA 95003. The listed phone number is (831) 662-2777.

What is Harry Shively's specialty?

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

Is Harry Shively enrolled in Medicare?

Yes. Harry Shively is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Harry Shively was last updated on August 16, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.