SHANNON SMITH WHEELER DMD
NPI 1417338989
Dentist in Louisville, KY

Q: What is Shannon Wheeler's NPI number?

The NPI number for Shannon Wheeler is 1417338989. It was assigned to this individual provider in the NPPES registry on June 10, 2015. The provider is also known as Shannon L Smith Dmd.

Q: What is Shannon Wheeler'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 Shannon Wheeler was last updated on January 25, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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 June 10, 2015PECOS Enrolled

2215 PORTLAND AVE, LOUISVILLE, KY 40212(502) 772-8160(502) 772-8108 Get Directions Write a Review

NPPES record last updated: January 25, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 25, 2023, Apr 23, 2021, Jun 16, 2018 and 2 more (5 updates tracked since 2017).

On this page

About Shannon Smith Wheeler Dmd NPPES

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

SHANNON SMITH WHEELER DMD (NPI 1417338989) is an individual dentist in Louisville, Kentucky, licensed in Kentucky (9585) and active in the NPI registry since June 2015. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1417338989

Entity TypeIndividualFemale

Primary Taxonomy122300000X

Provider Legal NameSHANNON SMITH WHEELERCredential: DMD

Location Address2215 PORTLAND AVELouisville, KY 40212-1033

Mailing AddressPo Box 950244Louisville, KY 40295-0244 · (502) 953-4700 · Fax (502) 772-8189

Phone(502) 772-8160

Fax(502) 772-8108

Sole ProprietorNo

Enumeration DateJune 10, 2015

Last NPPES UpdateJanuary 25, 20235 updates tracked since enumeration

NPPES CertifiedJanuary 25, 2023

✔ NPI 1417338989 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in KY · 9585

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.

2215 PORTLAND AVE, Louisville, KY 40212

Open in Google Maps ↗

Other Names 1

Former Name (1)Shannon L Smith Dmd

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Guardian, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shannon Smith Wheeler 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 40212 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

$82.24 typical visit price

range $52.76 – $162.27

Typical copayment $20.56 (range $13.19 – $40.56)

Most-billed visit code 99203

Established Patient

$66.24 typical visit price

range $16.53 – $131.99

Typical copayment $16.56 (range $4.13 – $32.99)

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.

Leave this field empty

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.

JAIVANTI LOHANO MD

Family Medicine