JAMES TODD SHANER (DDS) – Oral and Maxillofacial Surgery (Dentist), NPI 1952617698

JAMES TODD SHANER (DDS) is a healthcare provider. based in El paso, Texas. specializing in MAXILLOFACIAL SURGERY, DENTIST. They hold the professional credentials DDS. They hold a License No. 2010019899 (MO). The NPI Number for JAMES TODD SHANER (DDS) is 1952617698

Main info

Male
Sole Proprietor
16 Years Of Experience
Accepts Medicare Assignment
Name
JAMES TODD SHANER (DDS)
NPI
1952617698
Phone
(915) 742-5711
Address
5005 N PIEDRAS ST
Enumeration Date
19 August 2010
Last Update Date
21 July 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4178878800254
Graduation Year
2010 (16 years ago)
PAC ID
5890927537
Group Practice PAC ID
6103886981
Professional Enrollment ID
I20210406001205
Address ID
MO658075076SP1103XSTXX402
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience49
Completeness75
Years active:15State licenses:1Digital endpointsOther names

67 MAXILLOFACIAL SURGERY in GA

Provider Addresses for JAMES TODD SHANER (DDS)

  • 5005 N PIEDRAS ST

    EL PASO, TX 799205002

    Phone: (915) 742-5711

    Type: Mailing

  • 351 W 6TH ST

    BLDG 440 SUITE 100

    FT STEWART, GA 313144704

    Phone: (912) 767-6735

    Fax: (912) 767-5425

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 4 Open Payments records for all available years, with a total value of $162.

Total Amount is formed as General ($162) + Research ($0) + Ownership ($0) = $162.

Last reported payment date: 2024-12-20 • Largest payer in this snapshot: DePuy Synthes Sales Inc. ($162).

Total Amount

$162

General + Research + Ownership

Payments

4

Total payment records

General Amount

$162

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-20

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
DePuy Synthes Sales Inc.$162
View all Open Payments →|Open Payments Risk Radar →

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: 2021-04-06

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20210406001205IMaxillofacial SurgeryMOTBD

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.

Verify on CMS Revalidation Lookup Tool

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99202New patient office or other outpatient visit, 15-29 minutes1414$0
View full utilization report →

Insurance plans in this area (ZIP 79920)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6103886981View full group profile
NameSpecialtyState
Maxillofacial Surgery, Oral SurgeryMO
Maxillofacial Surgery, Oral SurgeryMO
Maxillofacial Surgery, Oral SurgeryMO
Maxillofacial Surgery, Oral SurgeryMO
Maxillofacial Surgery, Oral SurgeryMO
Maxillofacial Surgery, DentistTX

Reviews

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Frequently asked questions

How do payers reference JAMES TODD SHANER (DDS)?
For JAMES TODD SHANER (DDS), use NPI 1952617698 as the unique 10-digit identifier.
Would JAMES TODD SHANER (DDS) appear as active to a payer?
You can treat JAMES TODD SHANER (DDS) as active for directory purposes; confirm clinical privileges separately.
What kind of doctor is JAMES TODD SHANER (DDS)?
JAMES TODD SHANER (DDS) is associated with Oral and Maxillofacial Surgery (Dentist) in the directory — Clinical services aligned with this taxonomy classification.
What locale is associated with JAMES TODD SHANER (DDS)?
Directory geography for JAMES TODD SHANER (DDS) centers on El Paso, Texas.
What does 3 location(s) imply?
3 practice locations appear in the available data.

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