DR. KEYONNIA L SHAW DDS
NPI 1376290858
Dentist - General Practice in Denver, CO

Q: 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.

Q: What is Keyonnia Shaw's specialty?

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

Q: 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 20 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.

Active since March 04, 2022PECOS Enrolled

777 BANNOCK ST, DENVER, CO 80204(303) 436-6000 Get Directions Write a Review

NPPES record last updated: December 11, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 11, 2024, Jul 21, 2023, Aug 22, 2022 and 2 more (5 updates tracked since 2022).

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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

NPI1376290858

Entity TypeIndividualFemale

Primary Taxonomy1223G0001X

Provider Legal NameDR. KEYONNIA L SHAWCredential: DDS

Location Address777 BANNOCK STDenver, CO 80204-4597

Mailing Address660 Bannock StDenver, CO 80204-4506

Phone(303) 436-6000

Sole ProprietorNo

Enumeration DateMarch 4, 2022

Last NPPES UpdateDecember 11, 20245 updates tracked since enumeration

NPPES CertifiedDecember 11, 2024

✔ NPI 1376290858 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in CO · DEN.00205513

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.

777 BANNOCK ST, Denver, CO 80204

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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. Keyonnia L Shaw Dds 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 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.

New Patient

$89.43 typical visit price

range $58.06 – $174.82

Typical copayment $22.35 (range $14.51 – $43.70)

Most-billed visit code 99203

Established Patient

$72.20 typical visit price

range $18.88 – $142.79

Typical copayment $18.05 (range $4.72 – $35.69)

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.

MS. KATHERINE JEANNE CARLEY RN, MSN, CS

Clinical Nurse Specialist (Psychiatric/Mental Health)