KATHERINE SHACKLEFORD D.D.S
NPI 1336481431
Dentist in Lincoln Park, MI

Q: What is Katherine Shackleford's NPI number?

The NPI number for Katherine Shackleford is 1336481431. It was assigned to this individual provider in the NPPES registry on March 27, 2013.

Q: What is Katherine Shackleford's specialty?

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

Active since March 27, 2013PECOS Enrolled

1359 CHAMPAIGN RD, LINCOLN PARK, MI 48146(313) 386-9660 Get Directions Write a Review

NPPES record last updated: June 8, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Katherine Shackleford D.d.s NPPES

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

KATHERINE SHACKLEFORD D.D.S (NPI 1336481431) is an individual dentist in Lincoln Park, Michigan, licensed in Michigan (2901018626) and active in the NPI registry since March 2013. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1336481431

Entity TypeIndividualFemale

Primary Taxonomy122300000X

Provider Legal NameKATHERINE SHACKLEFORDCredential: D.D.S

Location Address1359 CHAMPAIGN RDLincoln Park, MI 48146-3303

Mailing Address1359 Champaign RdLincoln Park, MI 48146-3303 · (313) 386-9660

Phone(313) 386-9660

Sole ProprietorNo

Enumeration DateMarch 27, 2013

Last NPPES UpdateJune 8, 2015

✔ NPI 1336481431 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in MI · 2901018626

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.

1359 CHAMPAIGN RD, Lincoln Park, MI 48146

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas 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)

Katherine Shackleford D.d.s 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 48146 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

$90.76 typical visit price

range $58.04 – $177.36

Typical copayment $22.69 (range $14.51 – $44.34)

Most-billed visit code 99203

Established Patient

$72.38 typical visit price

range $18.32 – $143.49

Typical copayment $18.09 (range $4.58 – $35.87)

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 Katherine Shackleford's NPI number?

The NPI number for Katherine Shackleford is 1336481431. It was assigned to this individual provider in the NPPES registry on March 27, 2013.

Where is Katherine Shackleford located?

Katherine Shackleford practices at 1359 Champaign Rd, Lincoln Park, MI 48146. The listed phone number is (313) 386-9660.

What is Katherine Shackleford's specialty?

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

Is Katherine Shackleford enrolled in Medicare?

Yes. Katherine Shackleford is registered in the Medicare PECOS enrollment system.

What insurance does Katherine Shackleford accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas, Delta Dental of Michigan and Guardian list Katherine Shackleford 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 Katherine Shackleford was last updated on June 8, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.