1. Home
  2. Directory
  3. Kansas
  4. Overland Park
  5. Dentist
  6. NPI Profile

DR. SHANE AARON NELSON DDS
NPI 1619942083
Dentist - General Practice in Overland Park, KS

Active since February 21, 2006Opted out of Medicare · through Jan 16, 2028
7001 W 121ST ST, OVERLAND PARK, KS 66209(913) 313-8428(913) 906-0800 Get Directions Write a Review

NPPES record last updated: July 9, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 9, 2020, Jan 19, 2016 (2 updates tracked since 2016).

About Dr. Shane Aaron Nelson Dds NPPES

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

DR. SHANE AARON NELSON DDS (NPI 1619942083) is an individual general practice provider in Overland Park, Kansas, licensed in Kansas (7117) and active in the NPI registry since February 2006. He has opted out of Medicare through January 16, 2028.

NPPES Registry Identity

NPI1619942083
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. SHANE AARON NELSONCredential: DDS
Location Address7001 W 121ST STOverland Park, KS 66209-2009
Mailing Address14973 Outlook LnOverland Park, KS 66223-2931 · (913) 302-1478 · Fax (913) 897-9505
Phone(913) 313-8428
Fax(913) 906-0800
Sole ProprietorYes
Enumeration DateFebruary 21, 2006
Last NPPES UpdateJuly 9, 20202 updates tracked since enumeration
NPPES CertifiedJuly 9, 2020
✔ NPI 1619942083 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in KS · 7117
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.
Also ListedDentistTaxonomy 122300000X · License DN19850 (FL), 2016000952 (MO)
7001 W 121ST ST, Overland Park, KS 66209
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas 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

Dr. Shane Aaron Nelson Dds 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 January 16, 2020 through January 16, 2028.

Opt-Out Effective DateJanuary 16, 2020
Opt-Out In Effect ThroughJanuary 16, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 5

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

EDWIN KENNEDY ROGERS DDS
Dentist (General Practice)
7001 W 121ST ST, SUITE 100
OVERLAND PARK, KS 66209
Johnson County (913) 491-6874
RYAN L. BRITTINGHAM DDS PA
Dentist (General Practice)
7001 W 121ST ST
LEAWOOD, KS 66209
Johnson County (913) 421-9556
PLASTIC SURGICAL ARTS PA
Plastic Surgery
7001 W 121ST ST, SUITE 101
OVERLAND PARK, KS 66209
Johnson County (913) 338-5600
RYAN L BRITTINGHAM DDS
Dentist
7001 W 121ST ST
LEAWOOD, KS 66209
Johnson County (913) 421-9556
DR. KELLY NICOLE TABACCHI DDS
Dentist (Orthodontics and Dentofacial Orthopedics)
7001 W 121ST ST
OVERLAND PARK, KS 66209
Johnson County (913) 953-6767

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 Shane Nelson's NPI number?

The NPI number for Shane Nelson is 1619942083. It was assigned to this individual provider in the NPPES registry on February 21, 2006.

Where is Shane Nelson located?

Shane Nelson practices at 7001 W 121st St, Overland Park, KS 66209. The listed phone number is (913) 313-8428.

What is Shane Nelson's specialty?

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

Is Shane Nelson enrolled in Medicare?

No. Shane Nelson has opted out of Medicare through January 16, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

What insurance does Shane Nelson accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas, HRI Dental & Vision and Humana and 2 other insurers list Shane Nelson 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 Shane Nelson was last updated on July 9, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.