DR. SHELLEY HIROKO MIYASAKI D.D.S., PH.D.
NPI 1750325130
Dentist - Oral and Maxillofacial Surgery in San Francisco, CA

Q: What is Shelley Miyasaki's NPI number?

The NPI number for Shelley Miyasaki is 1750325130. It was assigned to this individual provider in the NPPES registry on June 15, 2006.

Q: What is Shelley Miyasaki's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Shelley Miyasaki was last updated on July 10, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since June 15, 2006PECOS Enrolled

4150 CLEMENT ST, DENTAL SERVICE MAIL STOP #160, SAN FRANCISCO, CA 94121(415) 221-4810(415) 750-6603 Get Directions Write a Review

NPPES record last updated: July 10, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Dr. Shelley Hiroko Miyasaki D.d.s., Ph.d. NPPES

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

DR. SHELLEY HIROKO MIYASAKI D.D.S., PH.D. (NPI 1750325130) is an individual oral and maxillofacial surgery provider in San Francisco, California, licensed in California (35147) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1750325130

Entity TypeIndividualFemale

Primary Taxonomy1223S0112X

Provider Legal NameDR. SHELLEY HIROKO MIYASAKICredential: D.D.S., PH.D.

Location Address4150 CLEMENT ST, DENTAL SERVICE MAIL STOP #160San Francisco, CA 94121-1545

Mailing Address4150 Clement St, Dental Service (160)San Francisco, CA 94121-1545 · (415) 221-4810 · Fax (415) 750-6603

Phone(415) 221-4810

Fax(415) 750-6603

Sole ProprietorNo

Enumeration DateJune 15, 2006

Last NPPES UpdateJuly 10, 2007

✔ NPI 1750325130 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers

Taxonomy Code1223S0112X

License✔ Licensed in CA · 35147

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.

4150 CLEMENT ST, San Francisco, CA 94121

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Shelley Hiroko Miyasaki D.d.s., Ph.d. 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 94121 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

$104.51 typical visit price

range $69.00 – $202.35

Typical copayment $26.12 (range $17.25 – $50.58)

Most-billed visit code 99203

Established Patient

$84.91 typical visit price

range $23.44 – $166.46

Typical copayment $21.22 (range $5.86 – $41.61)

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.