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JOHNNY SHAMMO D.D.S.
NPI 1114182938
Dentist - General Practice in Loma Linda, CA

Active since July 21, 2008PECOS Enrolled
11261 EXETER ST APT F, LOMA LINDA, CA 92354(909) 583-4224 Get Directions Write a Review

NPPES record last updated: July 21, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Johnny Shammo D.d.s. NPPES

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

JOHNNY SHAMMO D.D.S. (NPI 1114182938) is an individual general practice provider in Loma Linda, California, licensed in California (57186) and active in the NPI registry since July 2008. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1114182938
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameJOHNNY SHAMMOCredential: D.D.S.
Location Address11261 EXETER ST APT FLoma Linda, CA 92354-3050
Mailing Address11261 Exeter St Apt FLoma Linda, CA 92354-3050 · (909) 583-4224
Phone(909) 583-4224
Sole ProprietorNo
Enumeration DateJuly 21, 2008
✔ NPI 1114182938 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 · 57186
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.
11261 EXETER ST APT F, Loma Linda, CA 92354
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Accepted Insurance

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Johnny Shammo D.d.s. 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 92354 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
$91.88 typical visit price
range $59.60 – $179.42
Typical copayment $22.97 (range $14.90 – $44.85)
Most-billed visit code 99203
Established Patient
$74.08 typical visit price
range $19.37 – $146.42
Typical copayment $18.52 (range $4.84 – $36.60)
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 Johnny Shammo's NPI number?

The NPI number for Johnny Shammo is 1114182938. It was assigned to this individual provider in the NPPES registry on July 21, 2008.

Where is Johnny Shammo located?

Johnny Shammo practices at 11261 Exeter St Apt F, Loma Linda, CA 92354. The listed phone number is (909) 583-4224.

What is Johnny Shammo's specialty?

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

Is Johnny Shammo enrolled in Medicare?

Yes. Johnny Shammo is registered in the Medicare PECOS enrollment system.

What insurance does Johnny Shammo accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 4 other insurers list Johnny Shammo 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 Johnny Shammo was last updated on July 21, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.