Organization Active NPI

Shapiro Family Dentistry of Fort Pierce PA

  • General Practice Dentistry
  • Fort Pierce, FL
National Provider Identifier
1609352905
Registry record updated Jul 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
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, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2018

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
010511900MedicaidFL

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.