DR. VIJAYALAKSHMI SHETTY
NPI 1215094750
Dentist - Pediatric Dentistry in De Pere, WI

Q: What is Vijayalakshmi Shetty's NPI number?

The NPI number for Vijayalakshmi Shetty is 1215094750. It was assigned to this individual provider in the NPPES registry on January 3, 2007.

Q: What is Vijayalakshmi Shetty's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

Active since January 03, 2007PECOS Enrolled

534 REDBIRD CIR, DE PERE, WI 54115(920) 336-4002(920) 336-4112 Get Directions Write a Review

NPPES record last updated: January 17, 2024. Verified against the NPPES registry weekly; last sync: August 30, 2026.

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About Dr. Vijayalakshmi Shetty NPPES

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

DR. VIJAYALAKSHMI SHETTY (NPI 1215094750) is an individual pediatric dentistry provider in De Pere, Wisconsin, licensed in Wisconsin (5289) and active in the NPI registry since January 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1215094750

Entity TypeIndividualFemale

Primary Taxonomy1223P0221X

Provider Legal NameDR. VIJAYALAKSHMI SHETTY

Location Address534 REDBIRD CIRDe Pere, WI 54115-8785

Mailing Address534 Redbird CirDe Pere, WI 54115-8785 · (920) 336-4002 · Fax (920) 336-4112

Phone(920) 336-4002

Fax(920) 336-4112

Sole ProprietorNo

Enumeration DateJanuary 3, 2007

Last NPPES UpdateJanuary 17, 2024

NPPES CertifiedJanuary 17, 2024

✔ NPI 1215094750 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers

Taxonomy Code1223P0221X

License✔ Licensed in WI · 5289

Definition

An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

534 REDBIRD CIR, De Pere, WI 54115

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma 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. Vijayalakshmi Shetty 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 54115 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

$82.92 typical visit price

range $53.90 – $163.24

Typical copayment $20.73 (range $13.47 – $40.81)

Most-billed visit code 99203

Established Patient

$67.37 typical visit price

range $17.40 – $133.76

Typical copayment $16.84 (range $4.35 – $33.44)

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.

CHILDREN'S DENTAL CLINIC OF GREEN BAY, S.C.

Dentist (Pediatric Dentistry)

534 REDBIRD CIR
DE PERE, WI 54115

Brown County (920) 336-4002

CHILDREN'S DENTAL CLINIC OF GREEN BAY, LLC

Dentist (Pediatric Dentistry)

534 REDBIRD CIR
DE PERE, WI 54115

Brown County (920) 336-4002

DR. MARGARET ANN MILLER DDS

Dentist (Pediatric Dentistry)

534 REDBIRD CIR
DE PERE, WI 54115

Brown County (920) 336-4002

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 Vijayalakshmi Shetty's NPI number?

The NPI number for Vijayalakshmi Shetty is 1215094750. It was assigned to this individual provider in the NPPES registry on January 3, 2007.

Where is Vijayalakshmi Shetty located?

Vijayalakshmi Shetty practices at 534 Redbird Cir, De Pere, WI 54115. The listed phone number is (920) 336-4002.

What is Vijayalakshmi Shetty's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

Is Vijayalakshmi Shetty enrolled in Medicare?

Yes. Vijayalakshmi Shetty is registered in the Medicare PECOS enrollment system.

What insurance does Vijayalakshmi Shetty accept?

Health plans from BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Companion Life Insurance Company and 5 other insurers list Vijayalakshmi Shetty 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 Vijayalakshmi Shetty was last updated on January 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.