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DR. MICHAEL SHAYNE CONNALLY DDS
NPI 1114099371
Dentist in Midland, TX

Active since November 14, 2006Opted out of Medicare · through Jun 23, 2028
1801 HERITAGE BLVD, MIDLAND, TX 79707(432) 684-8289(432) 699-4644 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Dr. Michael Shayne Connally Dds NPPES

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

DR. MICHAEL SHAYNE CONNALLY DDS (NPI 1114099371) is an individual dentist in Midland, Texas, licensed in Texas (19710) and active in the NPI registry since November 2006. He has opted out of Medicare through June 23, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1114099371
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDR. MICHAEL SHAYNE CONNALLYCredential: DDS
Location Address1801 HERITAGE BLVDMidland, TX 79707
Mailing Address1801 Heritage BlvdMidland, TX 79707 · (432) 684-8289 · Fax (432) 699-4644
Phone(432) 684-8289
Fax(432) 699-4644
Sole ProprietorNo
Enumeration DateNovember 14, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1114099371 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in TX · 19710
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.
1801 HERITAGE BLVD, Midland, TX 79707
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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. Michael Shayne Connally 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 June 23, 2016 through June 23, 2028.

Opt-Out Effective DateJune 23, 2016
Opt-Out In Effect ThroughJune 23, 2028Opt-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 79707 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$68.55 typical visit price
range $17.52 – $136.11
Typical copayment $17.13 (range $4.38 – $34.02)
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 Michael Connally's NPI number?

The NPI number for Michael Connally is 1114099371. It was assigned to this individual provider in the NPPES registry on November 14, 2006.

Where is Michael Connally located?

Michael Connally practices at 1801 Heritage Blvd, Midland, TX 79707. The listed phone number is (432) 684-8289.

What is Michael Connally's specialty?

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

Is Michael Connally enrolled in Medicare?

No. Michael Connally has opted out of Medicare through June 23, 2028. 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.

When was this NPI record last updated?

The NPPES record for Michael Connally was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.