JORDAN HARRIS SHAPIRO (D.M.D.) – Oral and Maxillofacial Surgery (Dentist), NPI 1225562549
Oral and Maxillofacial Surgery (Dentist)
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
79 MAXILLOFACIAL SURGERY in FL
Provider Addresses for JORDAN HARRIS SHAPIRO (D.M.D.)
2600 N Military Trl Ste 350
Boca Raton, FL 334316315
Phone: (561) 465-2059
Type: Location
B.U. Goldman School of Dental Medicine, 100, East Newton Street, South End, Boston, Suffolk County, Massachusetts, 02118, United States
BOSTON, MA 021182308
Phone: (617) 638-4787
Type: Location
17901 NW 5TH ST STE 101
PEMBROKE PINES, FL 330292810
Phone: (954) 437-2222
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 5 Open Payments records for all available years, with a total value of $255.
Total Amount is formed as General ($255) + Research ($0) + Ownership ($0) = $255.
Last reported payment date: 2024-10-22 • Largest payer in this snapshot: Stryker Corporation ($111).
Total Amount
$255
General + Research + Ownership
Payments
5
Total payment records
General Amount
$255
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-22
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Stryker Corporation | $111 |
| Straumann USA LLC | $77 |
| Nobel Biocare USA | $36 |
| AXOGEN | $31 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2024-01-26
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20240126000495 | I | Oral Surgery | FL | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 33431)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Oral Surgery, Maxillofacial Surgery | VA | |
| Oral Surgery, Maxillofacial Surgery | FL |
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