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ERIN J SHANNON DDS
NPI 1720145204
Dentist - General Practice in Syracuse, NY

Active since January 03, 2007PECOS Enrolled
812 STATE FAIR BLVD, SYRACUSE, NY 13209(315) 488-3100(315) 488-3400 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Erin J Shannon Dds NPPES

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

ERIN J SHANNON DDS (NPI 1720145204) is an individual general practice provider in Syracuse, New York, licensed in New York (051664) and active in the NPI registry since January 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1720145204
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameERIN J SHANNONCredential: DDS
Location Address812 STATE FAIR BLVDSyracuse, NY 13209-1312
Mailing Address812 State Fair BlvdSyracuse, NY 13209-1312 · (315) 488-3100 · Fax (315) 488-3400
Phone(315) 488-3100
Fax(315) 488-3400
Sole ProprietorNo
Enumeration DateJanuary 3, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1720145204 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in NY · 051664
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.
812 STATE FAIR BLVD, Syracuse, NY 13209
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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)

Erin J Shannon Dds 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 13209 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$68.57 typical visit price
range $17.54 – $136.14
Typical copayment $17.14 (range $4.38 – $34.03)
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 4

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

MRS. CAROL LYNN MANGLOS MA, LCPC, CWHE,
Counselor (Pastoral)
812 STATE FAIR BLVD
SYRACUSE, NY 13209
Onondaga County (315) 559-7128
PROF. CAREN RUTH AVERY MS, LMHC
Counselor (Mental Health)
812 STATE FAIR BLVD, SUITE #3
SYRACUSE, NY 13209
Onondaga County (315) 345-4728
MARY ANNE VOLLMER MSA,LAC
Acupuncturist
812 STATE FAIR BLVD, LAKELAND PROFESSIONAL BLDG. SUITE3
SYRACUSE, NY 13209
Onondaga County (315) 427-4912
DAN BUGOW C.D.R.S.
Specialist
812 STATE FAIR BLVD
SYRACUSE, NY 13209
Onondaga County (315) 341-8811

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 Erin Shannon's NPI number?

The NPI number for Erin Shannon is 1720145204. It was assigned to this individual provider in the NPPES registry on January 3, 2007.

Where is Erin Shannon located?

Erin Shannon practices at 812 State Fair Blvd, Syracuse, NY 13209. The listed phone number is (315) 488-3100.

What is Erin Shannon's specialty?

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

Is Erin Shannon enrolled in Medicare?

Yes. Erin Shannon is registered in the Medicare PECOS enrollment system.

What insurance does Erin Shannon 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 5 other insurers list Erin Shannon 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 Erin Shannon was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.