DR. GLEN M SHIMSHAK DMD
NPI 1205948130
Dentist - General Practice in Portland, OR

Active since August 31, 2006PECOS Enrolled
511 SW 10TH, #1008, PORTLAND, OR 97205(503) 223-2442(503) 223-9447 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Glen M Shimshak Dmd NPPES

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

DR. GLEN M SHIMSHAK DMD (NPI 1205948130) is an individual general practice provider in Portland, Oregon, licensed in Oregon (4978) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1205948130
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. GLEN M SHIMSHAKCredential: DMD
Location Address511 SW 10TH, #1008Portland, OR 97205
Mailing Address511 Sw 10th, #1008Portland, OR 97205 · (503) 223-2442 · Fax (503) 223-9447
Fax(503) 223-9447
Sole ProprietorNo
Enumeration DateAugust 31, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1205948130 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in OR · 4978
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.

511 SW 10TH, Portland, OR 97205

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. Glen M Shimshak Dmd 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 97205 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
$90.51 typical visit price
range $58.99 – $176.88
Typical copayment $22.62 (range $14.74 – $44.22)
Most-billed visit code 99203
Established Patient
$73.28 typical visit price
range $19.32 – $144.79
Typical copayment $18.32 (range $4.83 – $36.19)
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 3

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

Dentist
511 SW 10TH, SUITE 1212
PORTLAND, OR 97205
Dentist (General Practice)
511 SW 10TH, #1305
PORTLAND, OR 97205
Optometrist
511 SW 10TH, SUITE 500
PORTLAND, OR 97205

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 Glen Shimshak's NPI number?

The NPI number for Glen Shimshak is 1205948130. It was assigned to this individual provider in the NPPES registry on August 31, 2006.

Where is Glen Shimshak located?

Glen Shimshak practices at 511 SW 10th #1008, Portland, OR 97205. The listed phone number is (503) 223-2442.

What is Glen Shimshak's specialty?

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

Is Glen Shimshak enrolled in Medicare?

Yes. Glen Shimshak is registered in the Medicare PECOS enrollment system.

What insurance does Glen Shimshak 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 and Renaissance Dental list Glen Shimshak 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 Glen Shimshak was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.