Active NPI
Shawn a. McClure DMD, MD
- Trauma Surgery Physician
- Cooper City, FL
National Provider Identifier
1619422607
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Trauma Surgery Physician
- License
- ME99010
- Legal business name
- SHAWN A. MCCLURE DMD, MD
- Practice address
- 8755 SW 57TH PL
Cooper City, FL 33328-5921 - Phone
- (954) 328-3631
- Fax
- (954) 355-5490
- NPI assigned
- Aug 18, 2016
- 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
- Shawn A McClure, DMD, MD
- Title
- DMD, MD
- Phone
- (954) 328-3631
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Trauma Surgery Physician | 2086S0127X | ME99010 | FL | Primary |
Addresses
Primary practice location
8755 SW 57TH PL
Cooper City, FL 33328-5921
Mailing address
9858 Clint Moore Rd
C111-274
Boca Raton, FL 33496-1034
Phone (561) 482-1144
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1471478400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1471478400000",
"number": "1619422607",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9858 CLINT MOORE RD",
"address_2": "C111-274",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334961034",
"telephone_number": "561-482-1144",
"fax_number": "561-482-1145"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8755 SW 57TH PL",
"city": "COOPER CITY",
"state": "FL",
"postal_code": "333285921",
"telephone_number": "954-328-3631",
"fax_number": "954-355-5490"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SHAWN A. MCCLURE DMD, MD",
"organizational_subpart": "NO",
"enumeration_date": "2016-08-18",
"last_updated": "2016-08-18",
"status": "A",
"authorized_official_last_name": "MCCLURE",
"authorized_official_first_name": "SHAWN",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "DMD, MD",
"authorized_official_telephone_number": "954-328-3631",
"authorized_official_credential": "DMD, MD"
},
"taxonomies": [
{
"code": "2086S0127X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Surgery, Trauma Surgery",
"state": "FL",
"license": "ME99010",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cooper City, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.