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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: August 09, 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
Phone(210) 292-0123
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
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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 CMS claims · ZIP area

Typical Medicare office-visit costs in the 78236 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$68.55 typical visit price
range $17.52 – $136.11
Typical copayment $17.13 (range $4.38 – $34.02)
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 20

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

DR. MARIANNE C HARTUP DMD
Dentist
1615 TRUEMPER ST
SAN ANTONIO, TX 78236
Bexar County (210) 292-0123
DR. GEOFFREY JOHNSTON DDS
Dentist (Prosthodontics)
1615 TRUEMPER ST
JBSA LACKLAND, TX 78236
Bexar County (210) 292-0123
JOSEPH GEDGE DDS
Dentist (General Practice)
1615 TRUEMPER ST
JBSA LACKLAND, TX 78236
Bexar County (702) 653-2600
DELBERT GEORGE OXBORROW DDS
Student in an Organized Health Care Education/Training Program
1615 TRUEMPER ST
LACKLAND AFB, TX 78236
Bexar County (210) 292-0123
WILLIAM GILMORE SENN
Dentist
1615 TRUEMPER ST
SAN ANTONIO, TX 78236
Bexar County (210) 539-8224
RACHEL WEBER DDS
Dentist (Periodontics)
1615 TRUEMPER ST
JBSA LACKLAND, TX 78236
Bexar County (210) 292-0749
DR. SUSAN E DELLARIPA D.M.D.
Dentist
1615 TRUEMPER ST
LACKLAND, TX 78236
Bexar County (210) 671-9612
DR. RYLLIS A ROUSSEAU DMD
Dentist (Prosthodontics)
1615 TRUEMPER ST
LACKLAND A F B, TX 78236
Bexar County (210) 292-6385

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 Cassandra Shannon's NPI number?

The NPI number for Cassandra Shannon is 1285229732. It was assigned to this individual provider in the NPPES registry on March 6, 2021.

Where is Cassandra Shannon located?

Cassandra Shannon practices at 1615 Truemper St, San Antonio, TX 78236. The listed phone number is (210) 292-0123.

What is Cassandra Shannon's specialty?

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

Is Cassandra Shannon enrolled in Medicare?

Yes. Cassandra Shannon is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Cassandra Shannon was last updated on August 22, 2023. 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.