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HOLLY MARIE MCMAHON DDS
NPI 1205129202
Dentist in Shakopee, MN

Active since May 24, 2011PECOS Enrolled
250 FULLER ST. S., SUITE 250, SHAKOPEE, MN 55379(952) 445-6657(952) 445-0674 Get Directions Write a Review

NPPES record last updated: March 26, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Holly Marie Mcmahon Dds NPPES

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

HOLLY MARIE MCMAHON DDS (NPI 1205129202) is an individual dentist in Shakopee, Minnesota, licensed in Minnesota (D12966) and active in the NPI registry since May 2011. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1205129202
Entity TypeIndividualFemale
Primary Taxonomy122300000X
Provider Legal NameHOLLY MARIE MCMAHONCredential: DDS
Location Address250 FULLER ST. S., SUITE 250Shakopee, MN 55379
Mailing Address250 Fuller St. S., Suite 250Shakopee, MN 55379 · (952) 445-6657 · Fax (952) 445-0674
Phone(952) 445-6657
Fax(952) 445-0674
Sole ProprietorNo
Enumeration DateMay 24, 2011
Last NPPES UpdateMarch 26, 2019
✔ NPI 1205129202 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in MN · D12966
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.
250 FULLER ST. S., Shakopee, MN 55379
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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 Alabama 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)

Holly Marie Mcmahon 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 55379 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
$85.82 typical visit price
range $56.00 – $168.28
Typical copayment $21.45 (range $14.00 – $42.07)
Most-billed visit code 99203
Established Patient
$69.74 typical visit price
range $18.32 – $138.04
Typical copayment $17.43 (range $4.58 – $34.51)
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.

DR. MIRANDA JOY MULLIGAN DDS
Dentist
250 FULLER ST. S., SUITE 250
SHAKOPEE, MN 55379
Scott County (952) 445-6657

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 Holly Mcmahon's NPI number?

The NPI number for Holly Mcmahon is 1205129202. It was assigned to this individual provider in the NPPES registry on May 24, 2011.

Where is Holly Mcmahon located?

Holly Mcmahon practices at 250 Fuller St. S. Suite 250, Shakopee, MN 55379. The listed phone number is (952) 445-6657.

What is Holly Mcmahon's specialty?

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

Is Holly Mcmahon enrolled in Medicare?

Yes. Holly Mcmahon is registered in the Medicare PECOS enrollment system.

What insurance does Holly Mcmahon accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 6 other insurers list Holly Mcmahon 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 Holly Mcmahon was last updated on March 26, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.