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DR. NODESH SHYAMSUNDER B.D.S
NPI 1720487135
Dentist - Prosthodontics in Jacksonville Beach, FL

Active since August 21, 2014Opted out of Medicare · through Dec 27, 2026
324 3RD AVE N, JACKSONVILLE BEACH, FL 32250(904) 246-6714 Get Directions Write a Review

NPPES record last updated: March 17, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 17, 2018, Jan 12, 2018 (2 updates tracked since 2018).

About Dr. Nodesh Shyamsunder B.d.s NPPES

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

DR. NODESH SHYAMSUNDER B.D.S (NPI 1720487135) is an individual prosthodontics provider in Jacksonville Beach, Florida, licensed in Florida (DN20907) and active in the NPI registry since August 2014. He has opted out of Medicare through December 27, 2026 and remains eligible to order and refer.

NPPES Registry Identity

NPI1720487135
Entity TypeIndividualMale
Primary Taxonomy1223P0700X
Provider Legal NameDR. NODESH SHYAMSUNDERCredential: B.D.S
Location Address324 3RD AVE NJacksonville Beach, FL 32250-5602
Mailing Address324 3rd Ave NJacksonville Beach, FL 32250-5602 · (904) 246-6714
Phone(904) 246-6714
Sole ProprietorYes
Enumeration DateAugust 21, 2014
Last NPPES UpdateMarch 17, 20182 updates tracked since enumeration
✔ NPI 1720487135 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · ProsthodonticsDental Providers
Taxonomy Code1223P0700X
License✔ Licensed in FL · DN20907
Definition
That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes.
324 3RD AVE N, Jacksonville Beach, FL 32250
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Guardian, Humana, Renaissance Dental.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. Nodesh Shyamsunder B.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 December 27, 2022 through December 27, 2026.

Opt-Out Effective DateDecember 27, 2022
Opt-Out In Effect ThroughDecember 27, 2026Opt-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 32250 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
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.

DR. JASLEEN KAUR RAINA D.D.S.
Dentist (Orthodontics and Dentofacial Orthopedics)
324 3RD AVE N
JACKSONVILLE BEACH, FL 32250
Duval County (904) 246-6714
DENTAL SUMMIT PLLC
Dentist (Prosthodontics)
324 3RD AVE N
JACKSONVILLE BEACH, FL 32250
Duval County (904) 246-6714
MICHAEL JOHN JUMBER DMD
Dentist
324 3RD AVE N
JACKSONVILLE BEACH, FL 32250
Duval County (904) 246-6714

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 Nodesh Shyamsunder's NPI number?

The NPI number for Nodesh Shyamsunder is 1720487135. It was assigned to this individual provider in the NPPES registry on August 21, 2014.

Where is Nodesh Shyamsunder located?

Nodesh Shyamsunder practices at 324 3rd Ave N, Jacksonville Beach, FL 32250. The listed phone number is (904) 246-6714.

What is Nodesh Shyamsunder's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Prosthodontics, with taxonomy code 1223P0700X.

Is Nodesh Shyamsunder enrolled in Medicare?

No. Nodesh Shyamsunder has opted out of Medicare through December 27, 2026. 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 Nodesh Shyamsunder accept?

Health plans from Guardian, Humana and Renaissance Dental list Nodesh Shyamsunder 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 Nodesh Shyamsunder was last updated on March 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.