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CHARLES HARTWELL SHANKS D.D.S.
NPI 1558359695
Dentist - Oral and Maxillofacial Surgery in Maryville, TN

Active since October 12, 2005Opted out of Medicare · through May 21, 2027
1511 E LAMAR ALEXANDER PKWY, MARYVILLE, TN 37804(865) 977-8048(865) 977-0318 Get Directions Write a Review

NPPES record last updated: June 17, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Charles Hartwell Shanks D.d.s. NPPES

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

CHARLES HARTWELL SHANKS D.D.S. (NPI 1558359695) is an individual oral and maxillofacial surgery provider in Maryville, Tennessee, licensed in Tennessee (DS7825) and active in the NPI registry since October 2005. He has opted out of Medicare through May 21, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1558359695
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameCHARLES HARTWELL SHANKSCredential: D.D.S.
Location Address1511 E LAMAR ALEXANDER PKWYMaryville, TN 37804-5131
Mailing Address1511 E Lamar Alexander PkwyMaryville, TN 37804-5131 · (865) 977-8048 · Fax (865) 977-0318
Phone(865) 977-8048
Fax(865) 977-0318
Sole ProprietorYes
Enumeration DateOctober 12, 2005
Last NPPES UpdateJune 17, 2013
✔ NPI 1558359695 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License✔ Licensed in TN · DS7825
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.
Also ListedDentistTaxonomy 122300000X · License DS7825 (TN)
1511 E LAMAR ALEXANDER PKWY, Maryville, TN 37804
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Other Identifiers 5

Medicare UPINV00974
OtherDS7825TN · License #
Other1144507351TN · Group Npi
Other201169265TN · Tax Id
Other1223S0112XTN · Kentucky Medicaid Taxonomy Code

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Alabama and more.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

Charles Hartwell Shanks D.d.s. 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 May 21, 2025 through May 21, 2027.

Opt-Out Effective DateMay 21, 2025
Opt-Out In Effect ThroughMay 21, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37804 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
$81.53 typical visit price
range $52.64 – $160.89
Typical copayment $20.38 (range $13.16 – $40.22)
Most-billed visit code 99203
Established Patient
$66.01 typical visit price
range $16.72 – $131.41
Typical copayment $16.50 (range $4.18 – $32.85)
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 3

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

CHARLES H. SHANKS, D.D.S., P.C.
Preferred Provider Organization
1511 E LAMAR ALEXANDER PKWY
MARYVILLE, TN 37804
Blount County (865) 977-8048
CHARLES H. SHANKS, D.D.S., P.C.
Dentist (Oral and Maxillofacial Surgery)
1511 E LAMAR ALEXANDER PKWY
MARYVILLE, TN 37804
Blount County (865) 977-8048
CARROLL R. SHANKS, D.D.S., P.C.
Dentist (Oral and Maxillofacial Surgery)
1511 E LAMAR ALEXANDER PKWY
MARYVILLE, TN 37804
Blount County (865) 977-8048

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 Charles Shanks's NPI number?

The NPI number for Charles Shanks is 1558359695. It was assigned to this individual provider in the NPPES registry on October 12, 2005.

Where is Charles Shanks located?

Charles Shanks practices at 1511 E Lamar Alexander Pkwy, Maryville, TN 37804. The listed phone number is (865) 977-8048.

What is Charles Shanks's specialty?

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

Is Charles Shanks enrolled in Medicare?

No. Charles Shanks has opted out of Medicare through May 21, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does Charles Shanks 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 10 other insurers list Charles Shanks 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 Charles Shanks was last updated on June 17, 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.