THOMAS SHIPLEY
NPI 1205998549
Dentist - Orthodontics and Dentofacial Orthopedics in Phoenix, AZ

Active since December 14, 2006Opted out of Medicare · through Aug 15, 2027
20235 N CAVE CREEK RD, PHOENIX, AZ 85024(602) 971-6622 Get Directions Write a Review

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

About Thomas Shipley NPPES

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

THOMAS SHIPLEY (NPI 1205998549) is an individual orthodontics and dentofacial orthopedics provider in Phoenix, Arizona, licensed in Arizona (D6400) and active in the NPI registry since December 2006. He has opted out of Medicare through August 15, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1205998549
Entity TypeIndividualMale
Primary Taxonomy1223X0400X
Provider Legal NameTHOMAS SHIPLEY
Location Address20235 N CAVE CREEK RDPhoenix, AZ 85024-4424
Mailing Address1950 S Country Club DrMesa, AZ 85210-6008
Sole ProprietorNo
Enumeration DateDecember 14, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1205998549 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Orthodontics and Dentofacial OrthopedicsDental Providers
Taxonomy Code1223X0400X
License Licensed in AZ · D6400
Definition
That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures.
20235 N CAVE CREEK RD, Phoenix, AZ 85024

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Thomas Shipley has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from August 15, 2017 through August 15, 2027.

Opt-Out Effective DateAugust 15, 2017
Opt-Out In Effect ThroughAugust 15, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85024 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
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$69.24 typical visit price
range $17.72 – $137.41
Typical copayment $17.31 (range $4.43 – $34.35)
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 5

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

Dentist (General Practice)
20235 N CAVE CREEK RD
PHOENIX, AZ 85024
Internal Medicine
20235 N CAVE CREEK RD, STE 104, #622
PHOENIX, AZ 85024
Dentist (General Practice)
20235 N CAVE CREEK RD
PHOENIX, AZ 85024
Dentist
20235 N CAVE CREEK RD
PHOENIX, AZ 85024
Dentist
20235 N CAVE CREEK RD, SUITE 106
PHOENIX, AZ 85024

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 Thomas Shipley's NPI number?

The NPI number for Thomas Shipley is 1205998549. It was assigned to this individual provider in the NPPES registry on December 14, 2006.

Where is Thomas Shipley located?

Thomas Shipley practices at 20235 N Cave Creek Rd, Phoenix, AZ 85024. The listed phone number is (602) 971-6622.

What is Thomas Shipley's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Orthodontics and Dentofacial Orthopedics, with taxonomy code 1223X0400X.

Is Thomas Shipley enrolled in Medicare?

No. Thomas Shipley has opted out of Medicare through August 15, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does Thomas Shipley accept?

Health plans from BEST Life, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 8 other insurers list Thomas Shipley 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 Thomas Shipley was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.