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DR. SHANE GREGORY KROHNFELDT DDS
NPI 1164937421
Dentist - General Practice in Albuquerque, NM

Active since December 08, 2017PECOS Enrolled
6425 HOLLY AVE NE, ALBUQUERQUE, NM 87113(505) 828-2020 Get Directions Write a Review

NPPES record last updated: November 2, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 2, 2022, Dec 3, 2019, Dec 8, 2017 (3 updates tracked since 2017).

About Dr. Shane Gregory Krohnfeldt Dds NPPES

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

DR. SHANE GREGORY KROHNFELDT DDS (NPI 1164937421) is an individual general practice provider in Albuquerque, New Mexico, licensed in New Mexico (DD4823) and active in the NPI registry since December 2017. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1164937421
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. SHANE GREGORY KROHNFELDTCredential: DDS
Location Address6425 HOLLY AVE NEAlbuquerque, NM 87113-2474
Mailing Address6425 Holly Ave NeAlbuquerque, NM 87113-2474 · (505) 828-2020
Phone(505) 828-2020
Sole ProprietorNo
Enumeration DateDecember 8, 2017
Last NPPES UpdateNovember 2, 20223 updates tracked since enumeration
NPPES CertifiedNovember 2, 2022
✔ NPI 1164937421 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Licenses✔ Licensed in NM · DD4823✔ Licensed in CA · 103623
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.

Also ListedDentistTaxonomy 122300000X · License DD4823 (NM)
6425 HOLLY AVE NE, Albuquerque, NM 87113
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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

✔

Enrolled in Medicare (PECOS)

Dr. Shane Gregory Krohnfeldt 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 87113 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
$84.79 typical visit price
range $54.26 – $166.80
Typical copayment $21.19 (range $13.56 – $41.70)
Most-billed visit code 99203
Established Patient
$68.00 typical visit price
range $17.00 – $135.35
Typical copayment $17.00 (range $4.25 – $33.83)
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 Shane Krohnfeldt's NPI number?

The NPI number for Shane Krohnfeldt is 1164937421. It was assigned to this individual provider in the NPPES registry on December 8, 2017.

Where is Shane Krohnfeldt located?

Shane Krohnfeldt practices at 6425 Holly Ave NE, Albuquerque, NM 87113. The listed phone number is (505) 828-2020.

What is Shane Krohnfeldt's specialty?

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

Is Shane Krohnfeldt enrolled in Medicare?

Yes. Shane Krohnfeldt is registered in the Medicare PECOS enrollment system.

What insurance does Shane Krohnfeldt 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 HRI Dental & Vision and 3 other insurers list Shane Krohnfeldt 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 Krohnfeldt was last updated on November 2, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.