DR. KENT M SHINOZAKI D.D.S.
NPI 1780771691
Dentist - Oral and Maxillofacial Surgery in Arlington Heights, IL

Active since October 10, 2006Opted out of Medicare · through Feb 25, 2027
304 EAST RAND ROAD, SUITE 200, ARLINGTON HEIGHTS, IL 60004(224) 770-3001 Get Directions Write a Review

NPPES record last updated: September 12, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Kent M Shinozaki D.d.s. NPPES

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

DR. KENT M SHINOZAKI D.D.S. (NPI 1780771691) is an individual oral and maxillofacial surgery provider in Arlington Heights, Illinois, licensed in Illinois (019029262) and active in the NPI registry since October 2006. He has opted out of Medicare through February 25, 2027.

NPPES Registry Identity

NPI1780771691
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameDR. KENT M SHINOZAKICredential: D.D.S.
Location Address304 EAST RAND ROAD, SUITE 200Arlington Heights, IL 60004
Mailing Address304 East Rand Road, Suite 200Arlington Heights, IL 60004 · (224) 770-3001
Sole ProprietorYes
Enumeration DateOctober 10, 2006
Last NPPES UpdateSeptember 12, 2013
NPI 1780771691 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
Licenses Licensed in IL · 019029262 Licensed in HI · 2223 Licensed in CA · 52931 Licensed in WI · 6965-15
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.
304 EAST RAND ROAD, Arlington Heights, IL 60004

Accepted 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. Kent M Shinozaki D.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 February 25, 2015 through February 25, 2027.

Opt-Out Effective DateFebruary 25, 2015
Opt-Out In Effect ThroughFebruary 25, 2027Opt-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 60004 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
$94.06 typical visit price
range $60.08 – $183.39
Typical copayment $23.51 (range $15.02 – $45.84)
Most-billed visit code 99203
Established Patient
$74.80 typical visit price
range $18.97 – $148.12
Typical copayment $18.70 (range $4.74 – $37.03)
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

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

Dentist (Oral and Maxillofacial Surgery)
304 EAST RAND ROAD, SUITE 200
ARLINGTON HEIGHTS, IL 60004

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 Kent Shinozaki's NPI number?

The NPI number for Kent Shinozaki is 1780771691. It was assigned to this individual provider in the NPPES registry on October 10, 2006.

Where is Kent Shinozaki located?

Kent Shinozaki practices at 304 East Rand Road Suite 200, Arlington Heights, IL 60004. The listed phone number is (224) 770-3001.

What is Kent Shinozaki's specialty?

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

Is Kent Shinozaki enrolled in Medicare?

No. Kent Shinozaki has opted out of Medicare through February 25, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

What insurance does Kent Shinozaki 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 Kent Shinozaki 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 Kent Shinozaki was last updated on September 12, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.