Alan D Shoopak DMD Orthodontic Group I LLC

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

Legal business name

ALAN D SHOOPAK DMD ORTHODONTIC GROUP I LLC

Practice address

960 Immokalee Rd
Ste. 204
Naples, FL 34110-4801

Phone

(239) 566-6055

Fax

(239) 566-8449

NPI assigned

Feb 22, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Alan D. ShoopakNPI 1205974458

Title

Owner

Phone

(727) 522-5599

Specialties & licenses 1

Addresses

Other names 1

• Orthodontic Specialists of Florida Doing business as

Tax ID family

Alan D Shoopak DMD Orthodontic Group I LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Alan D Shoopak DMD Orthodontic Group I LLC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Fort Myers, FL
  • NPI 1487789475
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Alan David Shoopak, D.M.D.,P.A.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • St Petersburg, FL
  • NPI 1205974458
  NPD (past) Authorized official

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

{
    "created_epoch": "1172102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444953600000",
    "number": "1356476352",
    "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": "960 IMMOKALEE RD",
            "address_2": "STE. 204",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341104801",
            "telephone_number": "239-566-6055",
            "fax_number": "239-566-8449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALAN D SHOOPAK DMD ORTHODONTIC GROUP I LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-22",
        "last_updated": "2015-10-16",
        "status": "A",
        "authorized_official_last_name": "SHOOPAK",
        "authorized_official_first_name": "ALAN",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "727-522-5599",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Orthodontic Specialists of Florida",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sadiq Al Nakeeb, MD
• Magid Azam Al-Kimawi, M.D.
• Daniela Aladro
• Frankie Alameda
• Alan Bruce Dautch, PA
• Alan Dautch, PA
• Ayren Maria Alarcon Ramirez
• Jenny Alarcon
• Mazen Saadi Albaghdadi, M.D.
• Vlasios P Albanis, MD

• Orthodontics and Dentofacial Orthopedics Dentistry in Naples, FL
• Providers in Naples, FL by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2015; 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.