DR. SHANNON SCOTT OBERNUEFEMANN DDS
NPI 1174530836
Dentist in Phoenix, AZ

Active since August 02, 2006PECOS Enrolled
777 W BETHANY HOME RD, PHOENIX, AZ 85013(602) 242-1729 Get Directions Write a Review

NPPES record last updated: September 6, 2012. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Shannon Scott Obernuefemann Dds NPPES

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

DR. SHANNON SCOTT OBERNUEFEMANN DDS (NPI 1174530836) is an individual dentist in Phoenix, Arizona, licensed in Arizona (D5408) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1174530836
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDR. SHANNON SCOTT OBERNUEFEMANNCredential: DDS
Location Address777 W BETHANY HOME RDPhoenix, AZ 85013-1651
Mailing Address777 W Bethany Home RdPhoenix, AZ 85013-1651 · (602) 242-1729
Sole ProprietorYes
Enumeration DateAugust 2, 2006
Last NPPES UpdateSeptember 6, 2012
NPI 1174530836 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License Licensed in AZ · D5408
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.

777 W BETHANY HOME RD, Phoenix, AZ 85013

Accepted 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. Shannon Scott Obernuefemann 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 85013 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
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$69.24 typical visit price
range $17.72 – $137.41
Typical copayment $17.31 (range $4.43 – $34.35)
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 Shannon Obernuefemann's NPI number?

The NPI number for Shannon Obernuefemann is 1174530836. It was assigned to this individual provider in the NPPES registry on August 2, 2006.

Where is Shannon Obernuefemann located?

Shannon Obernuefemann practices at 777 W Bethany Home Rd, Phoenix, AZ 85013. The listed phone number is (602) 242-1729.

What is Shannon Obernuefemann's specialty?

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

Is Shannon Obernuefemann enrolled in Medicare?

Yes. Shannon Obernuefemann is registered in the Medicare PECOS enrollment system.

What insurance does Shannon Obernuefemann accept?

Health plans from Ambetter from Arizona Complete Health, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Delta Dental of Arizona and 1 other insurer list Shannon Obernuefemann 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 Shannon Obernuefemann was last updated on September 6, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.