Anna Shoopak, D.M.D.

Primary specialty

DentistTaxonomy code 122300000X

License

DN20913 Issued in FL

Practice address

3100 4TH St N Unit 2
St Petersburg, FL 33704-2154

Phone

(727) 201-9950

NPI assigned

Mar 6, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Networks

• Freedom Health HMO Network

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

{
    "created_epoch": "1394064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589241600000",
    "number": "1265858807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3100 4TH ST N UNIT 2",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337042154",
            "telephone_number": "727-201-9950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 4TH ST N UNIT 2",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337042154",
            "telephone_number": "727-201-9950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHOOPAK",
        "first_name": "ANNA",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-03-06",
        "last_updated": "2020-05-12",
        "certification_date": "2020-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MA",
            "license": "DN1856805",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN20913",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Scott Shoenfelt, PHARMD
• April K Shook, D.C.
• Richard Deneen Shook, D.C.
• Aaron Shoopak, D.M.D.
• Alan David Shoopak, D.M.D.,P.A.
• Shore Acres Nursing and Rehab LLC
• Shore Facility Inc
• Shoreline Counselor
• Shoreline Psychological Services, LLC
• Margaret Short

• Dentist in St Petersburg, FL
• Providers in St Petersburg, FL by specialty
• Dentist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.