DR. RICHARD J SHAMO D.D.S., M.D.
NPI 1356504005
Dentist - Oral and Maxillofacial Surgery in Taylorsville, UT

Active since July 02, 2008Opted out of Medicare · through Feb 27, 2028
6287 S REDWOOD RD STE 103, TAYLORSVILLE, UT 84123(801) 261-2444 Get Directions Write a Review

NPPES record last updated: September 6, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Richard J Shamo D.d.s., M.d. NPPES

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

DR. RICHARD J SHAMO D.D.S., M.D. (NPI 1356504005) is an individual oral and maxillofacial surgery provider in Taylorsville, Utah, licensed in Utah (8583943-9924) and active in the NPI registry since July 2008. He has opted out of Medicare through February 27, 2028 and remains eligible to order and refer and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1356504005
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameDR. RICHARD J SHAMOCredential: D.D.S., M.D.
Location Address6287 S REDWOOD RD STE 103Taylorsville, UT 84123
Mailing Address4739 S Wander LnHolladay, UT 84117-5459 · (801) 808-1692
Sole ProprietorNo
Enumeration DateJuly 2, 2008
Last NPPES UpdateSeptember 6, 2018
NPI 1356504005 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License Licensed in UT · 8583943-9924
Definition

An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

Also ListedOral & Maxillofacial SurgeryTaxonomy 204E00000X · License 1381 (WY)
6287 S REDWOOD RD STE 103, Taylorsville, UT 84123

Secondary Practice Locations 3

Location 12620 Commercial Way Ste 110Rock Springs, WY 82901-4746 · Phone (307) 382-9115 · Fax (307) 382-9192
Location 2216 E Main StLehi, UT 84043-2231 · Phone (801) 768-1155
Location 36268 S 900 EMurray, UT 84121-2497 · Phone (801) 566-5117

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Dr. Richard J Shamo D.d.s., M.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from February 27, 2018 through February 27, 2028.

Opt-Out Effective DateFebruary 27, 2018
Opt-Out In Effect ThroughFebruary 27, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84123 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
$84.41 typical visit price
range $54.34 – $166.03
Typical copayment $21.10 (range $13.58 – $41.50)
Most-billed visit code 99203
Established Patient
$68.01 typical visit price
range $17.23 – $135.20
Typical copayment $17.00 (range $4.30 – $33.80)
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 2

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

Dentist (Oral and Maxillofacial Surgery)
6287 S REDWOOD RD STE 103
SALT LAKE CITY, UT 84123
Dentist (Oral and Maxillofacial Surgery)
6287 S REDWOOD RD STE 103
TAYLORSVILLE, UT 84123

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 Richard Shamo's NPI number?

The NPI number for Richard Shamo is 1356504005. It was assigned to this individual provider in the NPPES registry on July 2, 2008.

Where is Richard Shamo located?

Richard Shamo practices at 6287 S Redwood Rd Ste 103, Taylorsville, UT 84123. The listed phone number is (801) 261-2444.

What is Richard Shamo's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Is Richard Shamo enrolled in Medicare?

No. Richard Shamo has opted out of Medicare through February 27, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does Richard Shamo accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 14 other insurers list Richard Shamo 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 Richard Shamo was last updated on September 6, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.