WILLY SHEA DDS
NPI 1275813115
Dentist in Norwalk, CA

Active since August 24, 2011PECOS Enrolled
12258 HERMOSURA ST, NORWALK, CA 90650(951) 280-0679 Get Directions Write a Review

NPPES record last updated: August 24, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Willy Shea Dds NPPES

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

WILLY SHEA DDS (NPI 1275813115) is an individual dentist in Norwalk, California, licensed in California (50679) and active in the NPI registry since August 2011. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1275813115
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameWILLY SHEACredential: DDS
Location Address12258 HERMOSURA STNorwalk, CA 90650-6751
Mailing Address12258 Hermosura StNorwalk, CA 90650-6751
Sole ProprietorNo
Enumeration DateAugust 24, 2011
NPI 1275813115 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License Licensed in CA · 50679
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.
12258 HERMOSURA ST, Norwalk, CA 90650

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)

Willy Shea Dds 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 90650 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
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
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.

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 Willy Shea's NPI number?

The NPI number for Willy Shea is 1275813115. It was assigned to this individual provider in the NPPES registry on August 24, 2011.

Where is Willy Shea located?

Willy Shea practices at 12258 Hermosura St, Norwalk, CA 90650. The listed phone number is (951) 280-0679.

What is Willy Shea's specialty?

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

Is Willy Shea enrolled in Medicare?

Yes. Willy Shea is registered in the Medicare PECOS enrollment system.

What insurance does Willy Shea 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 Florida Combined Life and 3 other insurers list Willy Shea 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 Willy Shea was last updated on August 24, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.