DR. SHELLEY HIROKO MIYASAKI D.D.S., PH.D.
NPI 1750325130
Dentist - Oral and Maxillofacial Surgery in San Francisco, CA

NPI Status: Active since June 15, 2006

Contact Information

4150 CLEMENT ST
DENTAL SERVICE MAIL STOP #160
SAN FRANCISCO, CA
ZIP 94121
Phone: (415) 221-4810
Fax: (415) 750-6603

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  • Individual
  • Female
  • Dentist
  • Oral and Maxillofacial Surgery
  • PECOS Enrolled

About SHELLEY MIYASAKI

This page provides the complete NPI Profile along with additional information for Shelley Miyasaki, a provider established in San Francisco, California with a medical specialization in Dentist, focusing in oral and maxillofacial surgery . The healthcare provider is registered in the NPI registry with number 1750325130 assigned on June 2006. The practitioner's primary taxonomy code is 1223S0112X with license number 35147 (CA). The provider is registered as an individual and her NPI record was last updated 18 years ago.

NPI
1750325130
Provider Name
DR. SHELLEY HIROKO MIYASAKI D.D.S., PH.D.
Gender
Female
Entity Type
Individual
Location Address
4150 CLEMENT ST DENTAL SERVICE MAIL STOP #160 SAN FRANCISCO, CA 94121
Location Phone
(415) 221-4810
Location Fax
(415) 750-6603
Mailing Address
4150 CLEMENT ST DENTAL SERVICE (160) SAN FRANCISCO, CA 94121
Mailing Phone
(415) 221-4810
Mailing Fax
(415) 750-6603
Is Sole Proprietor?
No
Enumeration Date
06-15-2006
Last Update Date
07-10-2007
Code Navigator

A dentist like Shelley Miyasaki is a skilled in and licensed provider that diagnoses and treats problems with patients teeth, gums, and related parts of the mouth. Dentists educate patients on how to take care of the teeth and gums and provide information on diet choices that affect oral health. Dentists must be licensed in the state in which they work.

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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Dentist Oral and Maxillofacial Surgery

Taxonomy Code
1223S0112X
Type
Dental Providers
License No.
35147
License State
CA
Taxonomy Description
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

Medicare Participation & PECOS Enrollment Status

Shelley Miyasaki is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME) and a Home Health Agency (HHA).

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: No

Physician Visit Costs

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 94121 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99203

  • Average New Patient Price $104.51
  • Minimum New Patient Price $69
  • Maximum New Patient Price $202.35
  • Average New Patient Copayment $26.12
  • Minimum New Patient Copayment $17.25
  • Maximum New Patient Copayment $50.58

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99213

  • Average Established Patient Price $84.91
  • Minimum Established Patient Price $23.44
  • Maximum Established Patient Price $166.46
  • Average Established Patient Copayment $21.22
  • Minimum Established Patient Copayment $5.86
  • Maximum Established Patient Copayment $41.61

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Reviews for DR. SHELLEY HIROKO MIYASAKI D.D.S., PH.D.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1750325130
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
27100621016
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 1 + 0 + 0 + 6 + 2 + 1 + 0 + 1 + 6 + 24 = 50
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1750325130 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1831190735MS. SUSAN ELAINE AMMON NP
Individual
Nurse Practitioner (Family)4150 CLEMENT ST 111C
SAN FRANCISCO, CA 94121
(415) 221-4810
1689659187DR. LOUISE CHRISTIE WALTER M.D.
Individual
Internal Medicine (Geriatric Medicine)4150 CLEMENT ST VA MEDICAL CENTER 181G
SAN FRANCISCO, CA 94121
(415) 221-4810
1871578021 MARTIN JAY SPITZ M.D.
Individual
Internal Medicine (Gastroenterology)4150 CLEMENT ST
SAN FRANCISCO, CA 94121
(415) 540-1027
1457337354DR. JAMES MICHAEL LECLAIR D. D. S.
Individual
Dentist (General Practice)4150 CLEMENT ST DEPT. 160
SAN FRANCISCO, CA 94121
(415) 221-4810
1255319406 SANDRA YVONNE MOODY LEVIN MD, BSN
Individual
Internal Medicine (Geriatric Medicine)4150 CLEMENT ST 181G
SAN FRANCISCO, CA 94121
(415) 221-4810
1285609040 THEODORA M. MAURO M.D.
Individual
Dermatology4150 CLEMENT ST
SAN FRANCISCO, CA 94121
(415) 750-0091
1710953047 DENNIS H. OH M.D.
Individual
Dermatology4150 CLEMENT ST DERMATOLOGY DEPT (190)
SAN FRANCISCO, CA 94121
(415) 750-2091
1932178852MS. KAREN BUTLER REHDER NP
Individual
Nurse Practitioner4150 CLEMENT ST
SAN FRANCISCO, CA 94121
(415) 221-4810
1114996980 LYNN OBRIEN NP
Individual
Registered Nurse (Ambulatory Care)4150 CLEMENT ST
SAN FRANCISCO, CA 94121
(415) 221-4810
1053380790 CAROL DENISE TIGGS RNP
Individual
Nurse Practitioner (Adult Health)4150 CLEMENT ST
SAN FRANCISCO, CA 94121
(415) 221-4810
1346219854MS. BENILDA CROUSE-SMITH NP, MSN
Individual
Registered Nurse (Ambulatory Care)4150 CLEMENT ST
SAN FRANCISCO, CA 94121
(415) 750-2052
1821057712MS. NANCY BRANA NURSE PRACTITIONER
Individual
Nurse Practitioner (Family)4150 CLEMENT ST
SAN FRANCISCO, CA 94121
(415) 750-2052
1164481610VETERANS AFFAIRS MEDICAL CENTER
Organization
Hospice, Inpatient4150 CLEMENT ST
SAN FRANCISCO, CA 94121
(415) 221-4810
1124088240DR. MICHAEL ALAN STEINMAN MD
Individual
Internal Medicine (Geriatric Medicine)4150 CLEMENT ST SFVAMC BOX 181-G
SAN FRANCISCO, CA 94121
(415) 221-4810
1477513349DR. SEI J LEE MD
Individual
Internal Medicine4150 CLEMENT ST BLDG 1, RM306, BOX181G
SAN FRANCISCO, CA 94121
(415) 221-4810
1134182363MS. CHERYL WENELL JACOBS RN, ANP, MS
Individual
Nurse Practitioner (Adult Health)4150 CLEMENT ST WOMEN'S CLINIC 11C2
SAN FRANCISCO, CA 94121
(415) 750-2174
1093779944 L RAVETTI
Individual
Nurse Practitioner (Psychiatric/Mental Health)4150 CLEMENT ST
SAN FRANCISCO, CA 94121
(415) 221-4810
1992760284 PEGGY MARIE POOLE NP
Individual
Nurse Practitioner (Adult Health)4150 CLEMENT ST
SAN FRANCISCO, CA 94121
(415) 221-4810
1073578167MS. KRISTIN WEAVER
Individual
Nurse Practitioner (Primary Care)4150 CLEMENT ST
SAN FRANCISCO, CA 94121
(415) 221-4810
1396793436MS. NANCY L MCNULTY ANP
Individual
Nurse Practitioner (Gerontology)4150 CLEMENT ST
SAN FRANCISCO, CA 94121
(415) 221-4810

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1750325130, enumerated in the NPI registry as an "individual" on June 15, 2006

The provider is located at 4150 Clement St Dental Service Mail Stop #160 San Francisco, Ca 94121 and the phone number is (415) 221-4810

The provider's speciality is Dentist with taxonomy code 1223S0112X with a focus in Oral and Maxillofacial Surgery

Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME) and a Home Health Agency (HHA).

Medicare beneficiaries should expect a typical cost of $104.51 with an average copayment of $26.12 for new patient appointments. Established patients should expect a typical charge of $84.91 and an average copayment of 21.22. Please review your insurance plan or contact the provider directly to determine your specific costs.

This NPI record was last updated on June 15, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.