DR. NICHOLAS JON SHAWD D.D.S.
NPI 1356358030
Dentist - General Practice in Tea, SD

Active since August 02, 2006PECOS Enrolled
725 E KEVIN DR, SUITE 101, TEA, SD 57064(605) 498-5907(605) 498-9147 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Nicholas Jon Shawd D.d.s. NPPES

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

DR. NICHOLAS JON SHAWD D.D.S. (NPI 1356358030) is an individual general practice provider in Tea, South Dakota, licensed in South Dakota (SD M993) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1356358030
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. NICHOLAS JON SHAWDCredential: D.D.S.
Location Address725 E KEVIN DR, SUITE 101Tea, SD 57064-2070
Mailing Address725 E Kevin Dr, Suite 101Tea, SD 57064-2070 · (605) 498-5907 · Fax (605) 498-9147
Fax(605) 498-9147
Sole ProprietorNo
Enumeration DateAugust 2, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1356358030 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in SD · SD M993
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
725 E KEVIN DR, Tea, SD 57064

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. Nicholas Jon Shawd 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 57064 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
$85.21 typical visit price
range $55.52 – $167.23
Typical copayment $21.30 (range $13.88 – $41.80)
Most-billed visit code 99203
Established Patient
$69.20 typical visit price
range $18.08 – $137.08
Typical copayment $17.30 (range $4.52 – $34.27)
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

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

Physical Therapist
725 E KEVIN DR
TEA, SD 57064

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 Nicholas Shawd's NPI number?

The NPI number for Nicholas Shawd is 1356358030. It was assigned to this individual provider in the NPPES registry on August 2, 2006.

Where is Nicholas Shawd located?

Nicholas Shawd practices at 725 E Kevin Dr Suite 101, Tea, SD 57064. The listed phone number is (605) 498-5907.

What is Nicholas Shawd's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Nicholas Shawd enrolled in Medicare?

Yes. Nicholas Shawd is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Nicholas Shawd was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.