Organization Active NPI

Shawn a. McClure DMD, MD

  • Trauma Surgery Physician
  • Cooper City, FL
National Provider Identifier
1619422607
Registry record updated Aug 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Trauma Surgery PhysicianTaxonomy code 2086S0127X
License
ME99010 Issued in FL
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

Updated by the provider on Aug 18, 2016

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)CodeLicenseStatePrimary
Trauma Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

NPI 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.

Verify at the official NPI Registry.