Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. JOHN K. SHEA D.M.D.
NPI 1447232830
Dentist - Oral and Maxillofacial Surgery in Hendersonville, TN

Active since November 19, 2005Opted out of Medicare · through Nov 10, 2026
131 INDIAN LAKE BLVD, SUITE 100, HENDERSONVILLE, TN 37075(615) 822-8403(615) 822-0542 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. John K. Shea D.m.d. NPPES

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

DR. JOHN K. SHEA D.M.D. (NPI 1447232830) is an individual oral and maxillofacial surgery provider in Hendersonville, Tennessee, licensed in Tennessee (7936) and active in the NPI registry since November 2005. He has opted out of Medicare through November 10, 2026.

NPPES Registry Identity

NPI1447232830
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameDR. JOHN K. SHEACredential: D.M.D.
Location Address131 INDIAN LAKE BLVD, SUITE 100Hendersonville, TN 37075-6210
Mailing Address131 Indian Lake Blvd, Suite 100Hendersonville, TN 37075-6210 · (615) 822-8403 · Fax (615) 822-0542
Fax(615) 822-0542
Sole ProprietorNo
Enumeration DateNovember 19, 2005
Last NPPES UpdateJuly 13, 2026
NPI 1447232830 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License Licensed in TN · 7936
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
131 INDIAN LAKE BLVD, Hendersonville, TN 37075

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Dr. John K. Shea D.m.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from November 10, 2022 through November 10, 2026.

Opt-Out Effective DateNovember 10, 2022
Opt-Out In Effect ThroughNovember 10, 2026Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist (Oral and Maxillofacial Surgery)
131 INDIAN LAKE BLVD, SUITE 100
HENDERSONVILLE, TN 37075
Dentist (Oral and Maxillofacial Surgery)
131 INDIAN LAKE BLVD, SUITE 100
HENDERSONVILLE, TN 37075
Dentist (Oral and Maxillofacial Surgery)
131 INDIAN LAKE BLVD, SUITE 100
HENDERSONVILLE, TN 37075
Dentist (Oral and Maxillofacial Surgery)
131 INDIAN LAKE BLVD, SUITE 100
HENDERSONVILLE, TN 37075
Dentist (Orthodontics and Dentofacial Orthopedics)
131 INDIAN LAKE BLVD, SUITE 202
HENDERSONVILLE, TN 37075
Dentist (Oral and Maxillofacial Surgery)
131 INDIAN LAKE BLVD, SUITE 100
HENDERSONVILLE, TN 37075
Dentist (Oral and Maxillofacial Surgery)
131 INDIAN LAKE BLVD, SUITE 100
HENDERSONVILLE, TN 37075
Dentist (Oral and Maxillofacial Surgery)
131 INDIAN LAKE BLVD, SUITE 100
HENDERSONVILLE, TN 37075

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 John Shea's NPI number?

The NPI number for John Shea is 1447232830. It was assigned to this individual provider in the NPPES registry on November 19, 2005.

Where is John Shea located?

John Shea practices at 131 Indian Lake Blvd Suite 100, Hendersonville, TN 37075. The listed phone number is (615) 822-8403.

What is John Shea's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Is John Shea enrolled in Medicare?

No. John Shea has opted out of Medicare through November 10, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

What insurance does John Shea accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 8 other insurers list John Shea 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 John Shea was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 24 days 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.