RICHARD A. SHOCKLEY D.D.S.
NPI 1194775502
Dentist - General Practice in Portage, MI

Q: What is Richard Shockley's NPI number?

The NPI number for Richard Shockley is 1194775502. It was assigned to this individual provider in the NPPES registry on May 10, 2006.

Q: What is Richard Shockley's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Richard Shockley was last updated on March 23, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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 May 10, 2006PECOS Enrolled

706 W CENTRE AVE, PORTAGE, MI 49024(269) 323-1679(269) 323-1536 Get Directions Write a Review

NPPES record last updated: March 23, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Richard A. Shockley D.d.s. NPPES

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

RICHARD A. SHOCKLEY D.D.S. (NPI 1194775502) is an individual general practice provider in Portage, Michigan, licensed in Michigan (2901011400) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1194775502

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameRICHARD A. SHOCKLEYCredential: D.D.S.

Location Address706 W CENTRE AVEPortage, MI 49024-5310

Mailing Address706 W Centre AvePortage, MI 49024-5310 · (269) 323-1679 · Fax (269) 323-1536

Phone(269) 323-1679

Fax(269) 323-1536

Sole ProprietorYes

Enumeration DateMay 10, 2006

Last NPPES UpdateMarch 23, 2012

✔ NPI 1194775502 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in MI · 2901011400

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.

706 W CENTRE AVE, Portage, MI 49024

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Other Identifiers 1

Medicaid2908240MI

Accepted Insurance

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

Richard A. Shockley 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 49024 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

$84.74 typical visit price

range $54.34 – $166.68

Typical copayment $21.18 (range $13.58 – $41.67)

Most-billed visit code 99203

Established Patient

$68.07 typical visit price

range $17.09 – $135.40

Typical copayment $17.01 (range $4.27 – $33.85)

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.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MIDWEST FAMILY DENTAL CARE PORTAGE PC

Dentist (General Practice)

706 W CENTRE AVE
PORTAGE, MI 49024

Kalamazoo County (269) 323-1679

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 Richard Shockley's NPI number?

The NPI number for Richard Shockley is 1194775502. It was assigned to this individual provider in the NPPES registry on May 10, 2006.

Where is Richard Shockley located?

Richard Shockley practices at 706 W Centre Ave, Portage, MI 49024. The listed phone number is (269) 323-1679.

What is Richard Shockley's specialty?

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

Is Richard Shockley enrolled in Medicare?

Yes. Richard Shockley is registered in the Medicare PECOS enrollment system.

What insurance does Richard Shockley accept?

Health plans from BEST Life, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 8 other insurers list Richard Shockley 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 Richard Shockley was last updated on March 23, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.