SHIYUAN MAO DMD
NPI 1700464443
Dentist - Pediatric Dentistry in Westerly, RI

Q: What is Shiyuan Mao's NPI number?

The NPI number for Shiyuan Mao is 1700464443. It was assigned to this individual provider in the NPPES registry on April 1, 2021.

Q: What is Shiyuan Mao's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

Q: When was this NPI record last updated?

The NPPES record for Shiyuan Mao was last updated on January 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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 April 01, 2021PECOS Enrolled

130 GRANITE ST STE C, WESTERLY, RI 02891(401) 596-8720 Get Directions Write a Review

NPPES record last updated: January 15, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 6, 2023, Jun 15, 2021, May 28, 2021 and 1 more (4 updates tracked since 2021).

On this page

About Shiyuan Mao Dmd NPPES

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

SHIYUAN MAO DMD (NPI 1700464443) is an individual pediatric dentistry provider in Westerly, Rhode Island, licensed in Rhode Island (DEN03671) and active in the NPI registry since April 2021. She is enrolled in Medicare PECOS and maintains a secondary practice location in Wakefield.

NPPES Registry Identity

NPI1700464443

Entity TypeIndividualFemale

Primary Taxonomy1223P0221X

Provider Legal NameSHIYUAN MAOCredential: DMD

Location Address130 GRANITE ST STE CWesterly, RI 02891-2461

Mailing Address130 Granite St Ste CWesterly, RI 02891-2461 · (401) 596-8720

Phone(401) 596-8720

Sole ProprietorNo

Enumeration DateApril 1, 2021

Last NPPES UpdateJanuary 15, 20254 updates tracked since enumeration

NPPES CertifiedJanuary 15, 2025

✔ NPI 1700464443 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers

Taxonomy Code1223P0221X

Licenses✔ Licensed in RI · DEN03671✔ Licensed in DC · DEN2000475✔ Licensed in CT · 13933

Definition

An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

130 GRANITE ST STE C, Westerly, RI 02891

Open in Google Maps ↗

Secondary Practice Location 1

Location 124 Salt Pond Rd Ste CWakefield, RI 02879-4314 · Phone (401) 792-4664

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 Montana and more.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)

Shiyuan Mao 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 02891 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

$90.48 typical visit price

range $58.57 – $177.03

Typical copayment $22.62 (range $14.64 – $44.25)

Most-billed visit code 99203

Established Patient

$72.93 typical visit price

range $18.92 – $144.38

Typical copayment $18.23 (range $4.73 – $36.09)

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 2

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

CHILDRENS DENTISTRY OF RI LLC

Clinic/Center (Dental)

130 GRANITE ST STE C
WESTERLY, RI 02891

Washington County (401) 596-8720

DR. ANNA KATHERINE CAPALBO D.M.D.

Dentist (Pediatric Dentistry)

130 GRANITE ST STE C
WESTERLY, RI 02891

Washington County (401) 596-8720

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 Shiyuan Mao's NPI number?

The NPI number for Shiyuan Mao is 1700464443. It was assigned to this individual provider in the NPPES registry on April 1, 2021.

Where is Shiyuan Mao located?

Shiyuan Mao practices at 130 Granite St Ste C, Westerly, RI 02891. The listed phone number is (401) 596-8720.

What is Shiyuan Mao's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

Is Shiyuan Mao enrolled in Medicare?

Yes. Shiyuan Mao is registered in the Medicare PECOS enrollment system.

What insurance does Shiyuan Mao accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 6 other insurers list Shiyuan Mao 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 Shiyuan Mao was last updated on January 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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.