CASSANDRA M SHANNON
NPI 1285229732
Dentist in San Antonio, TX

Active since March 06, 2021PECOS Enrolled
1615 TRUEMPER ST, SAN ANTONIO, TX 78236(210) 292-0123 Get Directions Write a Review

NPPES record last updated: August 22, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Aug 22, 2023, Aug 6, 2021, Mar 6, 2021 (3 updates tracked since 2021).

About Cassandra M Shannon NPPES

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

CASSANDRA M SHANNON (NPI 1285229732) is an individual dentist in San Antonio, Texas, licensed in Texas (37762) and active in the NPI registry since March 2021. She is enrolled in Medicare PECOS and maintains a secondary practice location in Kansas City.

NPPES Registry Identity

NPI1285229732
Entity TypeIndividualFemale
Primary Taxonomy122300000X
Provider Legal NameCASSANDRA M SHANNON
Location Address1615 TRUEMPER STSan Antonio, TX 78236-5511
Mailing Address1615 Truemper StSan Antonio, TX 78236-5511
Sole ProprietorNo
Enumeration DateMarch 6, 2021
Last NPPES UpdateAugust 22, 20233 updates tracked since enumeration
NPPES CertifiedAugust 22, 2023
NPI 1285229732 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License Licensed in TX · 37762
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.

1615 TRUEMPER ST, San Antonio, TX 78236

Secondary Practice Location 1

Location 1650 E 25th StKansas City, MO 64108-2716 · Phone (816) 235-2100

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Cassandra M Shannon 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

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 78236 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99203

  • Average New Patient Price $84.92
  • Minimum New Patient Price $54.84
  • Maximum New Patient Price $166.88
  • Average New Patient Copayment $21.23
  • Minimum New Patient Copayment $13.71
  • Maximum New Patient Copayment $41.72

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99213

  • Average Established Patient Price $68.55
  • Minimum Established Patient Price $17.52
  • Maximum Established Patient Price $136.11
  • Average Established Patient Copayment $17.13
  • Minimum Established Patient Copayment $4.38
  • Maximum Established Patient Copayment $34.02

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Dentist (General Practice)
1615 TRUEMPER ST
LACKLAND A F B, TX 78236
Dentist (General Practice)
1615 TRUEMPER ST
LACKLAND A F B, TX 78236
Dentist (Prosthodontics)
1615 TRUEMPER ST
LACKLAND A F B, TX 78236
Dentist (General Practice)
1615 TRUEMPER ST
LACKLAND A F B, TX 78236
Dentist
1615 TRUEMPER ST
LACKLAND, TX 78236
Dentist
1615 TRUEMPER ST
LACKLAND A F B, TX 78236
Dentist
1615 TRUEMPER ST, BUILDING 6418
JBSA LACKLAND, TX 78236
Dentist (General Practice)
1615 TRUEMPER ST, DUNN DENTAL CLINIC, RM B227
JBSA LACKLAND, TX 78236
Dentist
1615 TRUEMPER ST
JBSA LACKLAND, TX 78236
Dentist (General Practice)
1615 TRUEMPER ST
LACKLAND A F B, TX 78236
Dentist (General Practice)
1615 TRUEMPER ST
JBSA LACKLAND, TX 78236
Dentist (General Practice)
1615 TRUEMPER ST
JBSA LACKLAND, TX 78236
Dentist (Endodontics)
1615 TRUEMPER ST
LACKLAND AFB, TX 78236
Dentist
1615 TRUEMPER ST
JBSA LACKLAND, TX 78236
Dental Hygienist
1615 TRUEMPER ST
SAN ANTONIO, TX 78236
Dentist
1615 TRUEMPER ST
SAN ANTONIO, TX 78236
Dentist
1615 TRUEMPER ST
SAN ANTONIO, TX 78236
Dentist
1615 TRUEMPER ST
SAN ANTONIO, TX 78236
Dentist (Prosthodontics)
1615 TRUEMPER ST
JBSA LACKLAND, TX 78236
Dentist
1615 TRUEMPER ST
JBSA LACKLAND, TX 78236

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1285229732, enumerated as an "individual" on March 06, 2021.

The provider is located at 1615 TRUEMPER ST SAN ANTONIO, TX 78236 and the phone number is (210) 292-0123.

Dentist with taxonomy code 122300000X.