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DR. SHAN CHRISTOPHER WILSON D.D.S.
NPI 1487947545
Dentist - General Practice in Houston, MO

Active since May 24, 2011PECOS Enrolled
321 S 2ND ST, HOUSTON, MO 65483(417) 967-4528 Get Directions Write a Review

NPPES record last updated: May 24, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Shan Christopher Wilson D.d.s. NPPES

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

DR. SHAN CHRISTOPHER WILSON D.D.S. (NPI 1487947545) is an individual general practice provider in Houston, Missouri, licensed in Missouri (2011014268) and active in the NPI registry since May 2011. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1487947545
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. SHAN CHRISTOPHER WILSONCredential: D.D.S.
Location Address321 S 2ND STHouston, MO 65483-1424
Mailing Address321 S 2nd StHouston, MO 65483-1424 · (417) 967-4528
Phone(417) 967-4528
Sole ProprietorNo
Enumeration DateMay 24, 2011
✔ NPI 1487947545 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in MO · 2011014268
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.
321 S 2ND ST, Houston, MO 65483
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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. Shan Christopher Wilson D.d.s. 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 65483 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
$81.64 typical visit price
range $52.28 – $161.24
Typical copayment $20.41 (range $13.07 – $40.31)
Most-billed visit code 99203
Established Patient
$65.71 typical visit price
range $16.30 – $131.05
Typical copayment $16.42 (range $4.07 – $32.76)
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.

DR. JOSEPH ELMER RICHARDSON D.D.S.
Dentist (General Practice)
321 S 2ND ST
HOUSTON, MO 65483
Texas County (417) 967-4528

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 Shan Wilson's NPI number?

The NPI number for Shan Wilson is 1487947545. It was assigned to this individual provider in the NPPES registry on May 24, 2011.

Where is Shan Wilson located?

Shan Wilson practices at 321 S 2nd St, Houston, MO 65483. The listed phone number is (417) 967-4528.

What is Shan Wilson's specialty?

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

Is Shan Wilson enrolled in Medicare?

Yes. Shan Wilson is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Shan Wilson was last updated on May 24, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.