DR. KEYONNIA L SHAW DDS
NPI 1376290858
Dentist - General Practice in Denver, CO
About Dr. Keyonnia L Shaw Dds NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. KEYONNIA L SHAW DDS (NPI 1376290858) is an individual general practice provider in Denver, Colorado, licensed in Colorado (DEN.00205513) and active in the NPI registry since March 2022. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Keyonnia L Shaw Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Keyonnia Shaw reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Denver, CO 80204
- Reassigned Medicare billing, Colorado enrollment
- 2,259 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 80204 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
DENVER, CO 80204
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 Keyonnia Shaw's NPI number?
The NPI number for Keyonnia Shaw is 1376290858. It was assigned to this individual provider in the NPPES registry on March 4, 2022.
Where is Keyonnia Shaw located?
Keyonnia Shaw practices at 777 Bannock St, Denver, CO 80204. The listed phone number is (303) 436-6000.
What is Keyonnia Shaw's specialty?
The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.
Is Keyonnia Shaw enrolled in Medicare?
Yes. Keyonnia Shaw is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Keyonnia Shaw's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Keyonnia Shaw reassigns Medicare benefits to Denver Health And Hospital Authority (Denver, CO). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Keyonnia Shaw's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Keyonnia Shaw accept?
Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Humana list Keyonnia Shaw 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 Keyonnia Shaw was last updated on December 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.
# Dr. Keyonnia L Shaw, DDS · NPI 1376290858
General Practice provider in Denver, Colorado. Individual provider, active in the CMS NPPES registry since March 4, 2022.
## Identity
- **NPI:** 1376290858 (Entity type: Individual)
- **Enumerated:** March 4, 2022
- **Primary specialty:** Dentist - General Practice · taxonomy 1223G0001X
- **State license:** DEN.00205513 (Colorado)
- **Sole proprietor:** No
## Practice location
- **Address:** 777 BANNOCK ST, Denver, CO 80204-4597
- **Phone:** (303) 436-6000
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Bills Medicare through:** Denver Health And Hospital Authority (NPI 1477569838, Denver, CO), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 11, 2024
---
Source: [NPI Profile](https://npiprofile.com/npi/1376290858) · Data from the CMS NPPES public registry.