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DR. KISHORE SHETTY DDS
NPI 1386768398
Dentist in Escondido, CA

Active since March 16, 2007PECOS Enrolled
425 N DATE ST, ESCONDIDO, CA 92025(713) 517-2252 Get Directions Write a Review

NPPES record last updated: April 11, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Kishore Shetty Dds NPPES

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

DR. KISHORE SHETTY DDS (NPI 1386768398) is an individual dentist in Escondido, California, licensed in Illinois (019027546) and active in the NPI registry since March 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1386768398
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDR. KISHORE SHETTYCredential: DDS
Location Address425 N DATE STEscondido, CA 92025
Mailing Address213 Mabley PlCary, NC 27519-6940 · (713) 517-2252
Phone(713) 517-2252
Sole ProprietorYes
Enumeration DateMarch 16, 2007
Last NPPES UpdateApril 11, 2019
✔ NPI 1386768398 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in IL · 019027546
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.
425 N DATE ST, Escondido, CA 92025
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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. Kishore Shetty 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 92025 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
$94.87 typical visit price
range $62.10 – $184.71
Typical copayment $23.71 (range $15.52 – $46.17)
Most-billed visit code 99203
Established Patient
$76.87 typical visit price
range $20.62 – $151.42
Typical copayment $19.21 (range $5.15 – $37.85)
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.

ARCHANA KRISHNARAJPET NARAYAN M.D.
Internal Medicine
425 N DATE ST
ESCONDIDO, CA 92025
San Diego County (760) 520-8372
LISA FLORO RIVARD RN, CDE
Registered Nurse
425 N DATE ST
ESCONDIDO, CA 92025
San Diego County (760) 518-3978
THOMAS WEST DDS
Dentist
425 N DATE ST
ESCONDIDO, CA 92025
San Diego County (760) 520-8330
JAYANTHI MAGESH M.D
Hospitalist
425 N DATE ST
ESCONDIDO, CA 92025
San Diego County (760) 739-2371
BERNICE TABIL-GALAPON LCSW
Social Worker (Clinical)
425 N DATE ST
ESCONDIDO, CA 92025
San Diego County (760) 737-6935
ALEJANDRA NAVA-HERBERGER NP
Nurse Practitioner (Psychiatric/Mental Health)
425 N DATE ST
ESCONDIDO, CA 92025
San Diego County (760) 520-8340
JINNU VERMA M.D
Internal Medicine
425 N DATE ST
ESCONDIDO, CA 92025
San Diego County (760) 739-2371
LILIA MENDIVIL BC, RN
Registered Nurse (Diabetes Educator)
425 N DATE ST
ESCONDIDO, CA 92025
San Diego County (760) 520-8372

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 Kishore Shetty's NPI number?

The NPI number for Kishore Shetty is 1386768398. It was assigned to this individual provider in the NPPES registry on March 16, 2007.

Where is Kishore Shetty located?

Kishore Shetty practices at 425 N Date St, Escondido, CA 92025. The listed phone number is (713) 517-2252.

What is Kishore Shetty's specialty?

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

Is Kishore Shetty enrolled in Medicare?

Yes. Kishore Shetty is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kishore Shetty was last updated on April 11, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.