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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. SHANNON GREEN DDS
NPI 1811550999
Dentist - Oral and Maxillofacial Surgery in Bethlehem, PA

Active since April 15, 2019PECOS EnrolledAccepts Medicare Assignment
1521 8TH AVE STE 101, BETHLEHEM, PA 18018(610) 865-8077(610) 865-8112 Get Directions Write a Review

NPPES record last updated: August 26, 2026. Verified against the NPPES registry weekly; last sync: September 20, 2026.

Record update history: Aug 26, 2026, Jul 16, 2024, Apr 15, 2019 (3 updates tracked since 2019).

About Dr. Shannon Green Dds NPPES

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

DR. SHANNON GREEN DDS (NPI 1811550999) is an individual oral and maxillofacial surgery provider in Bethlehem, Pennsylvania, licensed in Pennsylvania (DS045450) and active in the NPI registry since April 2019. She is enrolled in Medicare PECOS, is affiliated with St Luke's Hospital Bethlehem, and is a graduate of State Un Of Ny, Stony Brook School Of Dental Med (2019).

NPPES Registry Identity

NPI1811550999
Entity TypeIndividualFemale
Primary Taxonomy1223S0112X
Provider Legal NameDR. SHANNON GREENCredential: DDS
Location Address1521 8TH AVE STE 101Bethlehem, PA 18018-1893
Mailing Address1521 8th Ave Ste 101Bethlehem, PA 18018-1893 · (610) 865-8077 · Fax (610) 865-8112
Phone(610) 865-8077
Fax(610) 865-8112
Sole ProprietorNo
Medical School CMSState Un Of Ny, Stony Brook School Of Dental MedGraduated 2019
Enumeration DateApril 15, 2019
Last NPPES UpdateAugust 26, 20263 updates tracked since enumeration
NPPES CertifiedAugust 26, 2026
✔ NPI 1811550999 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 PA · DS045450
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.
1521 8TH AVE STE 101, Bethlehem, PA 18018
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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 and accepts Medicare assignment

Dr. Shannon Green Dds is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1658608989
PECOS Enrollment IDI20260305000171
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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

St Luke's Hospital Bethlehem

Acute Care Hospitals · Bethlehem, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390049
Location801 Ostrum StreetBethlehem, PA 18015 · Northampton County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 18018 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$68.36 typical visit price
range $17.33 – $135.84
Typical copayment $17.09 (range $4.33 – $33.96)
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. MICHAEL A RENALDO D.D.S.
Dentist (Oral and Maxillofacial Surgery)
1521 8TH AVE STE 101
BETHLEHEM, PA 18018
Northampton County (610) 865-8077
DR. MICHAEL WAGIH AWADALLAH DDS, MD
Dentist (Oral and Maxillofacial Surgery)
1521 8TH AVE STE 101
BETHLEHEM, PA 18018
Northampton County (484) 658-5758
HAZEM SHUAEIB
Dentist (Oral and Maxillofacial Surgery)
1521 8TH AVE STE 101
BETHLEHEM, PA 18018
Northampton County (610) 865-8077

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 Shannon Green's NPI number?

The NPI number for Shannon Green is 1811550999. It was assigned to this individual provider in the NPPES registry on April 15, 2019.

Where is Shannon Green located?

Shannon Green practices at 1521 8th Ave Ste 101, Bethlehem, PA 18018. The listed phone number is (610) 865-8077.

What is Shannon Green's specialty?

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

Is Shannon Green enrolled in Medicare?

Yes. Shannon Green is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Shannon Green 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 8 other insurers list Shannon Green 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.

Is Shannon Green affiliated with any hospitals?

According to CMS data, Shannon Green is affiliated with St Luke's Hospital Bethlehem.

When was this NPI record last updated?

The NPPES record for Shannon Green was last updated on August 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 31 days 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.