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DR. JEFF SHADID D.D.S.
NPI 1932290699
Dentist - General Practice in Oklahoma City, OK

Active since September 27, 2006Opted out of Medicare · through May 18, 2028
10717 N ROCKWELL AVE, OKLAHOMA CITY, OK 73162(405) 722-7777(405) 722-8428 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Jeff Shadid D.d.s. NPPES

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

DR. JEFF SHADID D.D.S. (NPI 1932290699) is an individual general practice provider in Oklahoma City, Oklahoma, licensed in Oklahoma (4706) and active in the NPI registry since September 2006. He has opted out of Medicare through May 18, 2028.

NPPES Registry Identity

NPI1932290699
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. JEFF SHADIDCredential: D.D.S.
Location Address10717 N ROCKWELL AVEOklahoma City, OK 73162-4537
Mailing Address10717 N Rockwell AveOklahoma City, OK 73162-4537 · (405) 722-7777 · Fax (405) 722-8428
Phone(405) 722-7777
Fax(405) 722-8428
Sole ProprietorYes
Enumeration DateSeptember 27, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1932290699 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in OK · 4706
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.
10717 N ROCKWELL AVE, Oklahoma City, OK 73162
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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. Jeff Shadid 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 May 18, 2016 through May 18, 2028.

Opt-Out Effective DateMay 18, 2016
Opt-Out In Effect ThroughMay 18, 2028Opt-out affidavits renew automatically every two years unless cancelled

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 Jeff Shadid's NPI number?

The NPI number for Jeff Shadid is 1932290699. It was assigned to this individual provider in the NPPES registry on September 27, 2006.

Where is Jeff Shadid located?

Jeff Shadid practices at 10717 N Rockwell Ave, Oklahoma City, OK 73162. The listed phone number is (405) 722-7777.

What is Jeff Shadid's specialty?

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

Is Jeff Shadid enrolled in Medicare?

No. Jeff Shadid has opted out of Medicare through May 18, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Jeff Shadid was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.