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DR. THEODORE RICHARD SHILLE D.D.S.
NPI 1962797829
Dentist - General Practice in Denver, CO

Active since June 17, 2011PECOS Enrolled
3525 W OXFORD AVE UNIT G-3, DENVER, CO 80236(303) 315-6150(720) 259-4559 Get Directions Write a Review

NPPES record last updated: October 5, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 5, 2023, May 24, 2023, Aug 11, 2016 (3 updates tracked since 2016).

About Dr. Theodore Richard Shille D.d.s. NPPES

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

DR. THEODORE RICHARD SHILLE D.D.S. (NPI 1962797829) is an individual general practice provider in Denver, Colorado, licensed in Colorado (DEN.00010513) and active in the NPI registry since June 2011. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1962797829
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. THEODORE RICHARD SHILLECredential: D.D.S.
Location Address3525 W OXFORD AVE UNIT G-3Denver, CO 80236-3115
Mailing Address3525 W Oxford Ave Unit G-3Denver, CO 80236-3115 · (303) 315-6150 · Fax (720) 259-4559
Phone(303) 315-6150
Fax(720) 259-4559
Sole ProprietorNo
Enumeration DateJune 17, 2011
Last NPPES UpdateOctober 5, 20233 updates tracked since enumeration
NPPES CertifiedOctober 5, 2023
✔ NPI 1962797829 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in CO · DEN.00010513
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.
3525 W OXFORD AVE UNIT G-3, Denver, CO 80236
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Other Identifiers 1

Medicaid60886374CO

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Humana.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Theodore Richard Shille D.d.s. 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.

Medicare Billing Reassignment

Medicare enrollment records show Theodore Shille reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Metro Community Provider Network, Inc.
2.3 mi
Federally Qualified Health Center (FQHC)
3515 SOUTH DELAWARE STREET
Englewood, CO 80110
  • Reassigned Medicare billing, Colorado enrollment
  • 125 clinicians in this Medicare group
NPI 1841458882 (303) 360-6276

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 80236 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
$89.43 typical visit price
range $58.06 – $174.82
Typical copayment $22.35 (range $14.51 – $43.70)
Most-billed visit code 99203
Established Patient
$72.20 typical visit price
range $18.88 – $142.79
Typical copayment $18.05 (range $4.72 – $35.69)
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 4

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

ALEXANDRIA NEWTON MSW
Social Worker (Clinical)
3525 W OXFORD AVE UNIT G-3
DENVER, CO 80236
Denver County (303) 315-6141
MS. SARAH STALDER PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
3525 W OXFORD AVE UNIT G-3
DENVER, CO 80236
Denver County (303) 315-6140
SUSANA SUAREZ BSR, RN
Registered Nurse
3525 W OXFORD AVE UNIT G-3
DENVER, CO 80236
Denver County (303) 315-6159
ANDRES CAMILO ESCOBAR
Social Worker (Clinical)
3525 W OXFORD AVE UNIT G-3
DENVER, CO 80236
Denver County (303) 315-0287

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 Theodore Shille's NPI number?

The NPI number for Theodore Shille is 1962797829. It was assigned to this individual provider in the NPPES registry on June 17, 2011.

Where is Theodore Shille located?

Theodore Shille practices at 3525 W Oxford Ave Unit G-3, Denver, CO 80236. The listed phone number is (303) 315-6150.

What is Theodore Shille's specialty?

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

Is Theodore Shille enrolled in Medicare?

Yes. Theodore Shille is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Theodore Shille's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Theodore Shille reassigns Medicare benefits to Metro Community Provider Network, Inc. (Englewood, CO). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Theodore Shille's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Theodore Shille accept?

Health plans from Humana list Theodore Shille 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 Theodore Shille was last updated on October 5, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.