ELIZABETH SHOCKLEY D.D.S
NPI 1205240157
Dentist in Memphis, TN

Q: What is Elizabeth Shockley's NPI number?

The NPI number for Elizabeth Shockley is 1205240157. It was assigned to this individual provider in the NPPES registry on June 19, 2014. The provider is also known as Elizabeth Rich.

Q: What is Elizabeth Shockley's specialty?

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

Active since June 19, 2014PECOS Enrolled

2953 BROAD AVE, MEMPHIS, TN 38112(901) 701-2720 Get Directions Write a Review

NPPES record last updated: June 1, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Elizabeth Shockley D.d.s NPPES

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

ELIZABETH SHOCKLEY D.D.S (NPI 1205240157) is an individual dentist in Memphis, Tennessee, licensed in Tennessee (9836) and active in the NPI registry since June 2014. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1205240157

Entity TypeIndividualFemale

Primary Taxonomy122300000X

Provider Legal NameELIZABETH SHOCKLEYCredential: D.D.S

Location Address2953 BROAD AVEMemphis, TN 38112-2957

Mailing Address2595 Central AveMemphis, TN 38104-5905 · (910) 228-3708

Phone(901) 701-2720

Sole ProprietorNo

Enumeration DateJune 19, 2014

Last NPPES UpdateJune 1, 2022

NPPES CertifiedJune 1, 2022

✔ NPI 1205240157 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

Licenses✔ Licensed in TN · 9836✔ Licensed in NC · 9728

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.

2953 BROAD AVE, Memphis, TN 38112

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Other Names 1

Former Name (1)Elizabeth Rich

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health 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)

Elizabeth 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 38112 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

$81.53 typical visit price

range $52.64 – $160.89

Typical copayment $20.38 (range $13.16 – $40.22)

Most-billed visit code 99203

Established Patient

$66.01 typical visit price

range $16.72 – $131.41

Typical copayment $16.50 (range $4.18 – $32.85)

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 18

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

DR. YOUSEF ODEH JEFFERSON DDS

Dentist