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DR. SHANE KLINGONSMITH D.M.D
NPI 1205910767
Dentist - General Practice in Bethlehem, PA

Active since October 24, 2006PECOS Enrolled
4555 EASTON AVE, BETHLEHEM, PA 18020(610) 866-0552 Get Directions Write a Review

NPPES record last updated: January 28, 2013. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Shane Klingonsmith D.m.d NPPES

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

DR. SHANE KLINGONSMITH D.M.D (NPI 1205910767) is an individual general practice provider in Bethlehem, Pennsylvania, licensed in Pennsylvania (DS036069) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1205910767
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. SHANE KLINGONSMITHCredential: D.M.D
Location Address4555 EASTON AVEBethlehem, PA 18020-9343
Mailing Address4555 Easton AveBethlehem, PA 18020-9343 · (610) 866-0552
Phone(610) 866-0552
Sole ProprietorYes
Enumeration DateOctober 24, 2006
Last NPPES UpdateJanuary 28, 2013
✔ NPI 1205910767 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in PA · DS036069
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.
4555 EASTON AVE, Bethlehem, PA 18020
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas 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 Klingonsmith D.m.d 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 18020 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$68.36 typical visit price
range $17.33 – $135.84
Typical copayment $17.09 (range $4.33 – $33.96)
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 2

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

DR. HOWARD MARK GOLDSTEIN DMD
Dentist
4555 EASTON AVE
BETHLEHEM, PA 18020
Northampton County (610) 866-0552
DR. DAVID MATTHEWS VELEBER PH.D
Psychologist
4555 EASTON AVE
BETHLEHEM, PA 18020
Northampton County (610) 866-9763

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 Klingonsmith's NPI number?

The NPI number for Shane Klingonsmith is 1205910767. It was assigned to this individual provider in the NPPES registry on October 24, 2006.

Where is Shane Klingonsmith located?

Shane Klingonsmith practices at 4555 Easton Ave, Bethlehem, PA 18020. The listed phone number is (610) 866-0552.

What is Shane Klingonsmith's specialty?

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

Is Shane Klingonsmith enrolled in Medicare?

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

What insurance does Shane Klingonsmith accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas, Humana and Renaissance Dental list Shane Klingonsmith 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 Klingonsmith was last updated on January 28, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.