NPIMap

Organization Active NPI

Afilliated Dental Specialist PL

Doing business as Dental Specialists of Florida

  • General Practice Dentistry
  • Tampa, FL
National Provider Identifier
1710407226
Registry record updated Oct 9, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN9319 Issued in FL
Legal business name
AFILLIATED DENTAL SPECIALIST PL
Doing business as
Dental Specialists of Florida
Practice address
1904 S Dale Mabry Hwy
Tampa, FL 33629-5817
Phone
(813) 433-7668
Fax
(813) 254-6392
NPI assigned
Jun 26, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2017

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

Authorized official

Name
Alan Shoopak, DMD
Title
Doctor
Phone
(727) 522-5599

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X DN9319 FL Primary

Addresses

Primary practice location

1904 S Dale Mabry Hwy
Tampa, FL 33629-5817

Mailing address

6311 4TH St N
St Petersburg, FL 33702-7511
Phone (727) 522-5599

Other identifiers 1

IdentifierTypeStateIssuer
DN9319OtherFLDENTAL LICENSE

Other names 1

  • Dental Specialists of Florida Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Afilliated Dental Specialist PL11 organizations share this tax ID, including this one

Other organizations with this tax ID 10

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

NPI Registry JSON

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

{
    "created_epoch": "1498435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1507507200000",
    "number": "1710407226",
    "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": "1904 S DALE MABRY HWY",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336295817",
            "telephone_number": "813-433-7668",
            "fax_number": "813-254-6392"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AFILLIATED DENTAL SPECIALIST PL",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-26",
        "last_updated": "2017-10-09",
        "status": "A",
        "authorized_official_last_name": "SHOOPAK",
        "authorized_official_first_name": "ALAN",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "727-522-5599",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN9319",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTAL LICENSE",
            "identifier": "DN9319",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dental Specialists of Florida",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2017; 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.