Shoop Family Dentistry, LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

5753 Issued in OK

Legal business name

SHOOP FAMILY DENTISTRY, LLC

Practice address

2443 W Kenosha St
Broken Arrow, OK 74012-8964

Phone

(918) 872-9030

Fax

(918) 872-9040

NPI assigned

Apr 23, 2012

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Joseph Brian Shoop, DDSNPI 1205933710

Title

Dentist/ Owner

Phone

(918) 872-9030

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Joseph Brian Shoop, DDS

  • Dentist
  • Tulsa, OK
  • NPI 1205933710
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1335139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335139200000",
    "number": "1245597665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2443 W KENOSHA ST",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740128964",
            "telephone_number": "918-872-9030",
            "fax_number": "918-872-9040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2443 W KENOSHA ST",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740128964",
            "telephone_number": "918-872-9030",
            "fax_number": "918-872-9040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHOOP FAMILY DENTISTRY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-23",
        "last_updated": "2012-04-23",
        "status": "A",
        "authorized_official_last_name": "SHOOP",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "BRIAN",
        "authorized_official_title_or_position": "DENTIST/ OWNER",
        "authorized_official_telephone_number": "918-872-9030",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "OK",
            "license": "5753",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan Sherle, PHARMD
• Baylee Sherman
• Shift Happens Therapy Services, LLC
• Erica D. Shinn, PHARM.D.
• Tracy L Shoemaker, OD
• Elizabeth Ann Short, MCD, CCC SLP
• Jennifer Lea Short, COTA
• Andrea Dawn Shotton, MS RD LD
• Stephen C Shuey, D.C.
• Maria L Shultz

• General Practice Dentistry in Broken Arrow, OK
• Providers in Broken Arrow, OK by specialty
• General Practice Dentistry in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.