KEDY SHEN (D.M.D.) – Endodontics, NPI 1730633801
Endodontics
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for KEDY SHEN (D.M.D.)
12500 SE 2ND CIR STE 135
VANCOUVER, WA 986846031
Phone: (360) 695-0994
Type: Location
15820, Southwest Towhee Lane, Neighbors Southwest, Beaverton, Metro, Washington County, Oregon, 97007, United States
BEAVERTON, OR 970079054
Phone:
Type: Mailing
Domino's Pizza, 15000, Southwest Barrows Road, Neighbors Southwest, Beaverton, Metro, Washington County, Oregon, 97007, United States
BEAVERTON, OR 970078712
Phone: (503) 515-3068
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 11 Open Payments records for all available years, with a total value of $683.
Total Amount is formed as General ($683) + Research ($0) + Ownership ($0) = $683.
Last reported payment date: 2024-11-21 • Largest payer in this snapshot: Sonendo Inc ($325).
Total Amount
$683
General + Research + Ownership
Payments
11
Total payment records
General Amount
$683
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-21
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Sonendo Inc | $325 |
| ZIMVIE INC. | $140 |
| Straumann USA LLC | $63 |
| PATTERSON COMPANIES, INC. | $54 |
| Benco Dental Supply Co. | $53 |
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: 2017-01-10
PECOS data refreshed: 2026-05-27
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 98684)
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