DR. JOHN L SHI DDS
NPI 1104044791
Dentist in New York, NY

Active since April 22, 2007PECOS Enrolled
139 CENTRE ST STE 306, NEW YORK, NY 10013(212) 925-7066(212) 925-7066 Get Directions Write a Review

NPPES record last updated: April 7, 2024. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Dr. John L Shi Dds NPPES

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

DR. JOHN L SHI DDS (NPI 1104044791) is an individual dentist in New York, New York, licensed in New York (048485) and active in the NPI registry since April 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1104044791
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDR. JOHN L SHICredential: DDS
Location Address139 CENTRE ST STE 306New York, NY 10013-4554
Mailing Address139 Centre St Ste 306New York, NY 10013-4554 · (212) 925-7066 · Fax (212) 925-7066
Fax(212) 925-7066
Sole ProprietorYes
Enumeration DateApril 22, 2007
Last NPPES UpdateApril 7, 2024
NPPES CertifiedMay 24, 2023
NPI 1104044791 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License Licensed in NY · 048485
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
139 CENTRE ST STE 306, New York, NY 10013

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 L Shi 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 10013 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
$102.04 typical visit price
range $65.69 – $198.19
Typical copayment $25.51 (range $16.42 – $49.54)
Most-billed visit code 99203
Established Patient
$81.44 typical visit price
range $21.20 – $160.66
Typical copayment $20.36 (range $5.30 – $40.16)
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.

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 Shi's NPI number?

The NPI number for John Shi is 1104044791. It was assigned to this individual provider in the NPPES registry on April 22, 2007.

Where is John Shi located?

John Shi practices at 139 Centre St Ste 306, New York, NY 10013. The listed phone number is (212) 925-7066.

What is John Shi's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is John Shi enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for John Shi was last updated on April 7, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.