DR. SHAWN JAMES DOUGLAS DDS, MHA
NPI 1790990299
Dentist - General Practice in Trinity, FL

Q: What is Shawn Douglas's NPI number?

The NPI number for Shawn Douglas is 1790990299. It was assigned to this individual provider in the NPPES registry on May 10, 2007.

Q: What is Shawn Douglas's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Shawn Douglas was last updated on April 2, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.

Active since May 10, 2007PECOS Enrolled

1821 WELLNESS LN BLDG 3, TRINITY, FL 34655(727) 372-3200(727) 372-0505 Get Directions Write a Review

NPPES record last updated: April 2, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dr. Shawn James Douglas Dds, Mha NPPES

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

DR. SHAWN JAMES DOUGLAS DDS, MHA (NPI 1790990299) is an individual general practice provider in Trinity, Florida, licensed in Florida (DN 17419) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS and maintains a secondary practice location in Odessa.

NPPES Registry Identity

NPI1790990299

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameDR. SHAWN JAMES DOUGLASCredential: DDS, MHA

Location Address1821 WELLNESS LN BLDG 3Trinity, FL 34655-5359

Mailing Address1821 Wellness Ln Bldg 3Trinity, FL 34655-5359 · (727) 372-3200

Phone(727) 372-3200

Fax(727) 372-0505

Sole ProprietorYes

Enumeration DateMay 10, 2007

Last NPPES UpdateApril 2, 2019

✔ NPI 1790990299 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in FL · DN 17419

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.

Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X

1821 WELLNESS LN BLDG 3, Trinity, FL 34655

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Secondary Practice Location 1

Location 18734 N Mobley RdOdessa, FL 33556-2509 · Phone (813) 920-2326

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Humana, Renaissance Dental.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)

Dr. Shawn James Douglas Dds, Mha 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 34655 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

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

DOUGLAS DENTISTRY P A

Durable Medical Equipment & Medical Supplies

1821 WELLNESS LN BLDG 3
TRINITY, FL 34655

Pasco County (727) 372-3200

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 Shawn Douglas's NPI number?

The NPI number for Shawn Douglas is 1790990299. It was assigned to this individual provider in the NPPES registry on May 10, 2007.

Where is Shawn Douglas located?

Shawn Douglas practices at 1821 Wellness Ln Bldg 3, Trinity, FL 34655. The listed phone number is (727) 372-3200.

What is Shawn Douglas's specialty?

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

Is Shawn Douglas enrolled in Medicare?

Yes. Shawn Douglas is registered in the Medicare PECOS enrollment system.

What insurance does Shawn Douglas accept?

Health plans from Humana and Renaissance Dental list Shawn Douglas 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 Shawn Douglas was last updated on April 2, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.