Active NPI
Shapiro Family Dentistry of Fort Pierce PA
- General Practice Dentistry
- Fort Pierce, FL
National Provider Identifier
1609352905
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- Legal business name
- SHAPIRO FAMILY DENTISTRY OF FORT PIERCE PA
- Practice address
- Coral Square Shoppes 3006 US Highway 1
Suite D2/D3
Fort Pierce, FL 34982 - Phone
- (772) 242-0053
- Fax
- (772) 242-0081
- NPI assigned
- Jul 19, 2018
- Last updated
- Jul 19, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Dari Shapiro, DDS
- Title
- President
- Phone
- (561) 254-2868
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | NU | Primary |
Addresses
Primary practice location
Coral Square Shoppes 3006 US Highway 1
Suite D2/D3
Fort Pierce, FL 34982
Mailing address
2247 Palm Beach Lakes Blvd Ste 105
West Palm Beach, FL 33409-3408
Phone (561) 254-2868
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 010511900 | Medicaid | FL |
National Provider Directory
National Provider DirectoryLocations
3006 S US Highway 1
Ste D2D3
Fort Pierce, FL 34982
Phone (772) 242-0053
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1531958400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1531958400000",
"number": "1609352905",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2247 PALM BEACH LAKES BLVD STE 105",
"city": "WEST PALM BEACH",
"state": "FL",
"postal_code": "334093408",
"telephone_number": "561-254-2868",
"fax_number": "561-328-6217"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CORAL SQUARE SHOPPES 3006 US HIGHWAY 1",
"address_2": "SUITE D2/D3",
"city": "FORT PIERCE",
"state": "FL",
"postal_code": "34982",
"telephone_number": "772-242-0053",
"fax_number": "772-242-0081"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SHAPIRO FAMILY DENTISTRY OF FORT PIERCE PA",
"organizational_subpart": "NO",
"enumeration_date": "2018-07-19",
"last_updated": "2018-07-19",
"status": "A",
"authorized_official_last_name": "SHAPIRO",
"authorized_official_first_name": "DARI",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "561-254-2868",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "010511900",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fort Pierce, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.