NPIMap

Organization Active NPI

Afilliated Dental Specialist PL

Doing business as Dental Specialists Of Florida

  • Dentist
  • Miami, FL
National Provider Identifier
1316497522
Registry record updated Oct 9, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN9319 Issued in FL
Legal business name
AFILLIATED DENTAL SPECIALIST PL
Doing business as
Dental Specialists Of Florida
Practice address
2740 SW 97TH Ave Apt 103
Miami, FL 33165-2682
Phone
(786) 732-3916
Fax
(305) 485-4455
NPI assigned
Oct 12, 2016
Last updated
Oct 9, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2017

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

Authorized official

Name
Alan D Shoopak, DMDNPI 1205974458
Title
Orthodontist
Phone
(727) 522-5599

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DN9319 FL Primary

Addresses

Primary practice location

2740 SW 97TH Ave Apt 103
Miami, FL 33165-2682

Mailing address

6311 4TH St N
St Petersburg, FL 33702-7511
Phone (727) 522-5599

Other names 1

  • Dental Specialists Of Florida Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Afilliated Dental Specialist PL11 organizations share this tax ID, including this one

Other organizations with this tax ID 10

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2740 SW 97th Ave
Apt 103
Miami, FL 33165
Phone (305) 485-4000

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1476230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1507507200000",
    "number": "1316497522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6311 4TH ST N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337027511",
            "telephone_number": "727-522-5599",
            "fax_number": "727-526-1702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2740 SW 97TH AVE APT 103",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331652682",
            "telephone_number": "786-732-3916",
            "fax_number": "305-485-4455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AFILLIATED DENTAL SPECIALIST PL",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-12",
        "last_updated": "2017-10-09",
        "status": "A",
        "authorized_official_last_name": "SHOOPAK",
        "authorized_official_first_name": "ALAN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "ORTHODONTIST",
        "authorized_official_telephone_number": "727-522-5599",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN9319",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dental Specialists Of Florida",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2017; 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.