Active NPI
Charles Irving Shofnos, DDS
- Dentist
- Cooper City, FL
National Provider Identifier
1174774897
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DN6140
- Practice address
- 12129 Sheridan St
Cooper City, FL 33026-1400 - Phone
- (954) 433-1888
- Fax
- (954) 438-3560
- NPI assigned
- Oct 1, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DN6140 | FL | Primary |
Addresses
Primary practice location
12129 Sheridan St
Cooper City, FL 33026-1400
Mailing address
12129 Sheridan St
Cooper City, FL 33026-1400
Phone (954) 433-1888
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN6140 | FL | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sage Dental of Cooper City, PLLC | Dentist | Past | Accepting new patients |
| .Shofnos and Adami, DDS PA | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Practice Dentistry
- Hollywood, FL
- NPI 1053413831
-
- Dentist
- Cooper City, FL
- NPI 1992034664
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1222819200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1222819200000",
"number": "1174774897",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12129 SHERIDAN ST",
"city": "COOPER CITY",
"state": "FL",
"postal_code": "330261400",
"telephone_number": "954-433-1888",
"fax_number": "954-438-3560"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12129 SHERIDAN ST",
"city": "COOPER CITY",
"state": "FL",
"postal_code": "330261400",
"telephone_number": "954-433-1888",
"fax_number": "954-438-3560"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHOFNOS",
"first_name": "CHARLES",
"middle_name": "IRVING",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-10-01",
"last_updated": "2008-10-01",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "FL",
"license": "DN6140",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cooper City, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.