DR. SHANE GREGGORY PORTER DDS
NPI 1104556562
Dentist - General Practice in San Antonio, TX

Q: What is Shane Porter's NPI number?

The NPI number for Shane Porter is 1104556562. It was assigned to this individual provider in the NPPES registry on June 16, 2022.

Q: What is Shane Porter's specialty?

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

Q: Is Shane Porter enrolled in Medicare?

No. Shane Porter has opted out of Medicare through January 23, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Q: When was this NPI record last updated?

The NPPES record for Shane Porter was last updated on June 16, 2022. 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.

Active since June 16, 2022Opted out of Medicare · through Jan 23, 2028

18730 STONE OAK PKWY STE 200, SAN ANTONIO, TX 78258(210) 495-7155(210) 495-4319 Get Directions Write a Review

NPPES record last updated: June 16, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Dr. Shane Greggory Porter Dds NPPES

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

DR. SHANE GREGGORY PORTER DDS (NPI 1104556562) is an individual general practice provider in San Antonio, Texas, licensed in Texas (38622) and active in the NPI registry since June 2022. He has opted out of Medicare through January 23, 2028.

NPPES Registry Identity

NPI1104556562

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameDR. SHANE GREGGORY PORTERCredential: DDS

Location Address18730 STONE OAK PKWY STE 200San Antonio, TX 78258-4152

Mailing Address18730 Stone Oak Pkwy Ste 200San Antonio, TX 78258-4152 · (210) 495-7155 · Fax (210) 495-4319

Phone(210) 495-7155

Fax(210) 495-4319

Sole ProprietorNo

Enumeration DateJune 16, 2022

NPPES CertifiedJune 16, 2022

✔ NPI 1104556562 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in TX · 38622

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.

18730 STONE OAK PKWY STE 200, San Antonio, TX 78258

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma 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

Dr. Shane Greggory Porter Dds 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 January 23, 2024 through January 23, 2028.

Opt-Out Effective DateJanuary 23, 2024

Opt-Out In Effect ThroughJanuary 23, 2028Opt-out affidavits renew automatically every two years unless cancelled

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 Shane Porter's NPI number?

The NPI number for Shane Porter is 1104556562. It was assigned to this individual provider in the NPPES registry on June 16, 2022.

Where is Shane Porter located?

Shane Porter practices at 18730 Stone Oak Pkwy Ste 200, San Antonio, TX 78258. The listed phone number is (210) 495-7155.

What is Shane Porter's specialty?

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

Is Shane Porter enrolled in Medicare?

No. Shane Porter has opted out of Medicare through January 23, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

What insurance does Shane Porter accept?

Health plans from BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Delta Dental PPO and 6 other insurers list Shane Porter 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 Shane Porter was last updated on June 16, 2022. 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.