NPPES file of Aug 9, 2026

Bill Shayne Tidwell, DDS

General Practice Dentistry · Fort Defiance, AZ

Bill Shayne Tidwell, DDS is a general practice dentistry with a practice address in Fort Defiance, Arizona, and NPI 1053391797, issued on Jan 19, 2006. Check the license with the Arizona board that licenses this profession; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · Medicare files 2024 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1053391797
Name
Bill Shayne Tidwell
Credential
DDS
Primary taxonomy
General Practice Dentistry 1223G0001X
License numbers
6993 KS
117592 AK
7367 CO
14581 TX
Self-reported in NPPES; status is on the state search
Practice location
Corner OF Route N12 And N7, Fort Defiance, AZ 86504
Phone
(928) 729-8000
Enumerated
Jan 19, 2006
Record last updated
Oct 18, 2019 (not updated in 7 years: call before relying on the address or phone)
Medicaid ID
100454590A KS
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). A record is not a license: verify it with the state board.
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Also registered at Corner OF Route N12 And N7

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Moaz Abulfaraj, MDSurgery Physician1861797193
  2. Walter Adam, MDFamily Medicine Physician1053368860
  3. Margaret Adams, ARNPFamily Nurse Practitioner1427455682
  4. Sandra Adkins, DDSDentist1710918131
  5. Elizabeth Agre, PT, DPTPhysical Therapist1891268280
  6. Mohammad Akhavan Heidari, MDSurgery Physician1205041571

Verify Bill Shayne Tidwell in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersWhich Arizona board licenses this professionCheck the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
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75% fewer Medicare Part D claims than the average general practice dentistry in 2024

21 Medicare Part D claims for 11 beneficiaries, against an average of 83 among the 70,290 providers of this specialty who prescribed in Part D. Brand-name drugs were 0% of claims.

  1. Bill Tidwell21
  2. Specialty average83

Most prescribed

  1. Amoxicillin11 claims

Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.

Bill Shayne Tidwell among 2,482 general practice dentistry records in Arizona

Bill Shayne Tidwell, DDS is one of 2,482 general practice dentistry records with a practice address in Arizona. 65% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2006, is newer than 4% of them.

  • NPI issued2006 · 4% of these records are older, 65% newer
  • In a Medicare fileYes · 65% of these records are
  • In the CMS Doctors and Clinicians fileNo · 1% of these records are
  • Record last updated2019 · 68% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 1223G0001X and a Arizona practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

11 general practice dentistry records list a practice address in Fort Defiance

They are 11 of the 590 NPPES records with a practice address in Fort Defiance, and 2,482 general practice dentistry records in Arizona.

The 8 general practice dentistry records with the nearest ZIP codes

  1. Ethan Chase, DMDFort Defiance, AZ 865041720479892
  2. Shane CurleyhairFort Defiance, AZ 865041811470776
  3. Ethan Curleyhair, DMDFort Defiance, AZ 865041518440007
  4. David Fleming, DDSFort Defiance, AZ 865041720121734
  5. Daniel HultgrenFort Defiance, AZ 865041821518275
  6. Dexter Inniss, D.M.DFort Defiance, AZ 865041629146469
  7. Garrison Melzer, DMDFort Defiance, AZ 865041558293282
  8. Leland Pond, D.M.DFort Defiance, AZ 865041710110515

Common questions

What is Bill Shayne Tidwell, DDS's NPI number?

Bill Shayne Tidwell, DDS's National Provider Identifier (NPI) is 1053391797, issued on Jan 19, 2006. An NPI identifies a provider in billing; it is not a license.

Where is Bill Shayne Tidwell, DDS located?

The NPPES record lists a practice address at Corner OF Route N12 And N7, Fort Defiance, AZ, 86504. Phone: (928) 729-8000. Providers update this record themselves, so call before visiting.

How can I verify Bill Shayne Tidwell, DDS's license?

Search the Arizona board that licenses this profession; the NPPES record confirms identity only.

How much does Bill Shayne Tidwell, DDS prescribe under Medicare Part D?

In 2024, Bill Shayne Tidwell, DDS had 21 Medicare Part D claims for 11 beneficiaries; the average among general practice dentistry prescribers was 83. Part D covers Medicare prescriptions only.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.