DR. RODERICK KIRKPATRICK SHAW III DMD
NPI 1396083515
Dentist in Madison, FL

Q: What is Roderick Shaw's NPI number?

The NPI number for Roderick Shaw is 1396083515. It was assigned to this individual provider in the NPPES registry on January 23, 2013.

Q: What is Roderick Shaw's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Roderick Shaw was last updated on January 23, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.

Active since January 23, 2013PECOS Enrolled

255 NE DUVAL AVE, MADISON, FL 32340(850) 973-6427 Get Directions Write a Review

NPPES record last updated: January 23, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dr. Roderick Kirkpatrick Shaw Iii Dmd NPPES

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

DR. RODERICK KIRKPATRICK SHAW III DMD (NPI 1396083515) is an individual dentist in Madison, Florida, licensed in Florida (DN10977) and active in the NPI registry since January 2013. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1396083515

Entity TypeIndividualMale

Primary Taxonomy122300000X

Provider Legal NameDR. RODERICK KIRKPATRICK SHAW IIICredential: DMD

Location Address255 NE DUVAL AVEMadison, FL 32340-2542

Mailing Address255 Ne Duval AveMadison, FL 32340-2542 · (850) 973-6427

Phone(850) 973-6427

Sole ProprietorYes

Enumeration DateJanuary 23, 2013

✔ NPI 1396083515 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in FL · DN10977

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.

255 NE DUVAL AVE, Madison, FL 32340

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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. Roderick Kirkpatrick Shaw Iii Dmd 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 32340 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

$87.62 typical visit price

range $56.00 – $171.84

Typical copayment $21.90 (range $14.00 – $42.96)

Most-billed visit code 99203

Established Patient

$70.04 typical visit price

range $17.57 – $139.16

Typical copayment $17.51 (range $4.39 – $34.79)

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.

RODERICK K SHAW III DMD PA

Dentist

255 NE DUVAL AVE
MADISON, FL 32340

Madison County (850) 973-6427

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 Roderick Shaw's NPI number?

The NPI number for Roderick Shaw is 1396083515. It was assigned to this individual provider in the NPPES registry on January 23, 2013.

Where is Roderick Shaw located?

Roderick Shaw practices at 255 NE Duval Ave, Madison, FL 32340. The listed phone number is (850) 973-6427.

What is Roderick Shaw's specialty?

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

Is Roderick Shaw enrolled in Medicare?

Yes. Roderick Shaw is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Roderick Shaw was last updated on January 23, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.