DR. SHANNON KELLY BLAIR DDS
NPI 1841823143
Dentist - General Practice in Penasco, NM

Q: What is Shannon Blair's NPI number?

The NPI number for Shannon Blair is 1841823143. It was assigned to this individual provider in the NPPES registry on February 15, 2020.

Q: What is Shannon Blair'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 Shannon Blair was last updated on February 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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 February 15, 2020PECOS Enrolled

201 K-2 BUFFALO TRAIL, PENASCO, NM 87553(575) 251-8010 Get Directions Write a Review

NPPES record last updated: February 3, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Feb 3, 2026, Feb 16, 2023, Mar 5, 2022 and 4 more (7 updates tracked since 2020).

On this page

About Dr. Shannon Kelly Blair Dds NPPES

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

DR. SHANNON KELLY BLAIR DDS (NPI 1841823143) is an individual general practice provider in Penasco, New Mexico, licensed in New Mexico (DD22013) and active in the NPI registry since February 2020. She is enrolled in Medicare PECOS and is a graduate of Howard University College Of Dentistry (2020).

NPPES Registry Identity

NPI1841823143

Entity TypeIndividualFemale

Primary Taxonomy1223G0001X

Provider Legal NameDR. SHANNON KELLY BLAIRCredential: DDS

Location Address201 K-2 BUFFALO TRAILPenasco, NM 87553

Mailing AddressPo Box 127Penasco, NM 87553-0127 · (575) 251-8010

Phone(575) 251-8010

Sole ProprietorNo

Medical School CMSHoward University College Of DentistryGraduated 2020

Enumeration DateFebruary 15, 2020

Last NPPES UpdateFebruary 3, 20267 updates tracked since enumeration

NPPES CertifiedFebruary 3, 2026

✔ NPI 1841823143 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

Licenses✔ Licensed in NM · DD22013✔ Licensed in CA · DDS106783

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.

201 K-2 BUFFALO TRAIL, Penasco, NM 87553

Open in Google Maps ↗

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 (PECOS)

Dr. Shannon Kelly Blair Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3476973165

PECOS Enrollment IDI20260529001561

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 87553 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

$84.79 typical visit price

range $54.26 – $166.80

Typical copayment $21.19 (range $13.56 – $41.70)

Most-billed visit code 99203

Established Patient

$68.00 typical visit price

range $17.00 – $135.35

Typical copayment $17.00 (range $4.25 – $33.83)

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.

DANIELLE GARCIA LCSW-S

Social Worker (Clinical)

201 K-2 BUFFALO TRAIL
PENASCO, NM 87553

Taos County (575) 779-0673

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 Blair's NPI number?

The NPI number for Shannon Blair is 1841823143. It was assigned to this individual provider in the NPPES registry on February 15, 2020.

Where is Shannon Blair located?

Shannon Blair practices at 201 K-2 Buffalo Trail, Penasco, NM 87553. The listed phone number is (575) 251-8010.

What is Shannon Blair's specialty?

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

Is Shannon Blair enrolled in Medicare?

Yes. Shannon Blair is registered in the Medicare PECOS enrollment system.

What insurance does Shannon Blair 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 6 other insurers list Shannon Blair 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 Shannon Blair was last updated on February 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.